INTERDISCIPLINARY CONSENUS ON THE MANAGEMENT OF IIH IN THE UK

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY(2016)

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Abstract
Management of Idiopathic Intracranial Hypertension (IIH) is not standardised. A multidisciplinary Special Interest Group (SIG) was established to develop a uniform investigation and treatment strategy according to disease severity based on current literature and expert consensus. Methods A systematic literature review of “IIH”;“Benign IH” and “pseudotumour cerebri” was followed by a SIG meeting, to identify the population, interventions, controls and outcomes (PICO) questions. Discrepant views were reflected in a questionnaire disseminated though a modified Delphi approach to district general and tertiary hospital interdisciplinary specialists. Results 44/66 questionnaires were returned. 51% would image (CT/MRI) patients with definite papilloedema Conclusions Evidence for IIH management is minimal. Consensus on many aspects of management was demonstrated which will help establish a practical guideline.
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management,uk
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