Table 2

Approaches to the management of IIH

Frequency of recommendation (n=43), n (%)
Non-pharmacological approaches
 Weight reduction30 (70)
 Dietitian review7 (16)
 Sleep study referral6 (14)
 Bariatric surgical referral5 (12)*
 Weight reduction clinic referral2 (5)
 Sodium restriction
Pharmacological approaches
 Acetazolamide (first-line)40 (93)
 Topiramate20 (47)†
 Furosemide3 (7)
 Adjunctive headache therapies12 (28)‡
Neurointerventional approaches
 Ventriculoperitoneal shunt insertion3 (7)
 Intracranial venous stent1 (2)
 Optic nerve sheath fenestration
  • *Gastric banding, n=2; gastric sleeve, n=1; gastric bypass, n=1, declined referral, n=1; two patients had gastric bypass surgery prior their IIH diagnosis.

  • †Predominantly second-line therapy or for patients with concurrent migraine diagnoses.

  • ‡Prescription: pre-dated IIH diagnosis, n=6; started following IIH diagnosis, n=4; pre-existing and ongoing prescription, n=2.

  • IIH, idiopathic intracranial hypertension.