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Idiopathic intracranial hypertension in otolaryngology

  • Review Article
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European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Idiopathic intracranial hypertension (IIH) is defined as increased intracranial pressure in the absence of intracranial mass or obstructive hydrocephalus. Over 80% of patients are overweight women. IIH is usually encountered in the neurology and ophthalmology practise as headaches, visual disturbance and papilloedema are the characteristic features of this syndrome. Patients with IIH also experience tinnitus, hearing loss, balance disturbance, cerebrospinal fluid (CSF) otorrhoea or rhinorrhoea and in some cases these otorhinological symptoms can be presenting features of this syndrome. IIH is also associated with obstructive sleep apnoea. Otolaryngologists should be familiar with this important condition as it can manifest a variety of symptoms that are more frequently seen in their clinics. Sometimes otolaryngologists may be involved in the surgical management of this condition, such as repair of CSF rhinorrhoea or otorrhoea or endoscopic optic nerve decompression. The aim of this review article is to familiarise the otolaryngologists with the important features of this unusual syndrome which may remain unrecognised in the otolaryngology practice.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Otolaryngology, University Hospital Coventry and Warwick Hospital, Coventry, UK

    Mudit Jindal & Darius Rejali

  2. University of Birmingham, Birmingham, UK

    Lucinda Hiam

  3. Department of Neurology, Hull and East Yorkshire Hospital, Kingston upon Hull, UK

    Ashok Raman

  4. Department of ENT, University Hospital Coventry and Warwick NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, UK

    Mudit Jindal

Authors
  1. Mudit Jindal
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  2. Lucinda Hiam
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  3. Ashok Raman
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  4. Darius Rejali
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Correspondence to Mudit Jindal.

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Jindal, M., Hiam, L., Raman, A. et al. Idiopathic intracranial hypertension in otolaryngology. Eur Arch Otorhinolaryngol 266, 803–806 (2009). https://doi.org/10.1007/s00405-009-0973-0

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  • DOI: https://doi.org/10.1007/s00405-009-0973-0

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