Tags

Type your tag names separated by a space and hit enter

Management and outcome of consecutive pregnancies complicated by idiopathic intracranial hypertension.
Isr Med Assoc J. 2013 Apr; 15(4):160-3.IM

Abstract

BACKGROUND

The effects of consecutive pregnancies on the course of idiopathic intracranial hypertension (IIH) are unclear in view of the scarce published data.

OBJECTIVES

To evaluate the course and management of visual and pregnancy outcomes of consecutive pregnancies with IIH.

METHODS

The medical records of women with IIH in consecutive pregnancies were reviewed for neuro-ophthalmological findings, management, and visual and pregnancy outcomes.

RESULTS

The study group comprised eight women with at least two consecutive pregnancies (mean age 27.3 +/- 5.3 years). The mean duration of IIH prior to the first pregnancy was 3.4 +/- 3.16 years. One woman with IIH pre-pregnancy symptoms and three women with clinical features of IIH during the second trimester of pregnancy (gestational week 21.7 +/- 4.04) were treated with acetazolamide (250 mg every 8 hours). Symptoms resolved, resulting in uncomplicated first deliveries for all four. The first deliveries of four other women were by cesarean section due to obstetric indications. Only one woman developed symptoms and signs of IIH during her second pregnancy and was thus treated with acetazolamide. Two women who completed three pregnancies had no IIH symptoms during their pregnancies. The course and outcome of those pregnancies were normal.

CONCLUSIONS

IIH apparently does not worsen or even become symptomatic in consecutive pregnancies. The appropriate management of IIH in pregnant women is similar to management for non-pregnant women; neither the course nor the obstetric outcome of first and consecutive pregnancies is influenced by the presence of IIH.

Authors+Show Affiliations

Neuro-Ophthalmology Unit, Department of Ophthalmology, Tel Aviv Sourasky Medical Center, Tel Aviv, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel. shanigola2@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23781749

Citation

Golan, Shani, et al. "Management and Outcome of Consecutive Pregnancies Complicated By Idiopathic Intracranial Hypertension." The Israel Medical Association Journal : IMAJ, vol. 15, no. 4, 2013, pp. 160-3.
Golan S, Maslovitz S, Kupferminc MJ, et al. Management and outcome of consecutive pregnancies complicated by idiopathic intracranial hypertension. Isr Med Assoc J. 2013;15(4):160-3.
Golan, S., Maslovitz, S., Kupferminc, M. J., & Kesler, A. (2013). Management and outcome of consecutive pregnancies complicated by idiopathic intracranial hypertension. The Israel Medical Association Journal : IMAJ, 15(4), 160-3.
Golan S, et al. Management and Outcome of Consecutive Pregnancies Complicated By Idiopathic Intracranial Hypertension. Isr Med Assoc J. 2013;15(4):160-3. PubMed PMID: 23781749.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management and outcome of consecutive pregnancies complicated by idiopathic intracranial hypertension. AU - Golan,Shani, AU - Maslovitz,Sharon, AU - Kupferminc,Michael J, AU - Kesler,Anat, PY - 2013/6/21/entrez PY - 2013/6/21/pubmed PY - 2013/7/11/medline SP - 160 EP - 3 JF - The Israel Medical Association journal : IMAJ JO - Isr Med Assoc J VL - 15 IS - 4 N2 - BACKGROUND: The effects of consecutive pregnancies on the course of idiopathic intracranial hypertension (IIH) are unclear in view of the scarce published data. OBJECTIVES: To evaluate the course and management of visual and pregnancy outcomes of consecutive pregnancies with IIH. METHODS: The medical records of women with IIH in consecutive pregnancies were reviewed for neuro-ophthalmological findings, management, and visual and pregnancy outcomes. RESULTS: The study group comprised eight women with at least two consecutive pregnancies (mean age 27.3 +/- 5.3 years). The mean duration of IIH prior to the first pregnancy was 3.4 +/- 3.16 years. One woman with IIH pre-pregnancy symptoms and three women with clinical features of IIH during the second trimester of pregnancy (gestational week 21.7 +/- 4.04) were treated with acetazolamide (250 mg every 8 hours). Symptoms resolved, resulting in uncomplicated first deliveries for all four. The first deliveries of four other women were by cesarean section due to obstetric indications. Only one woman developed symptoms and signs of IIH during her second pregnancy and was thus treated with acetazolamide. Two women who completed three pregnancies had no IIH symptoms during their pregnancies. The course and outcome of those pregnancies were normal. CONCLUSIONS: IIH apparently does not worsen or even become symptomatic in consecutive pregnancies. The appropriate management of IIH in pregnant women is similar to management for non-pregnant women; neither the course nor the obstetric outcome of first and consecutive pregnancies is influenced by the presence of IIH. SN - 1565-1088 UR - https://www.unboundmedicine.com/medline/citation/23781749/Management_and_outcome_of_consecutive_pregnancies_complicated_by_idiopathic_intracranial_hypertension_ L2 - http://www.ima.org.il/IMAJ/ViewArticle.aspx?year=2013&month=04&page=160 DB - PRIME DP - Unbound Medicine ER -