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A Lady with a Headache in the Second Trimester 

A Lady with a Headache in the Second Trimester
Chapter:
A Lady with a Headache in the Second Trimester
Author(s):

M. Angela O’Neal

DOI:
10.1093/med/9780190609917.003.0014
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date: 22 September 2017

This case illustrates a typical presentation of idiopathic intracranial hypertension (IIH) during pregnancy. The diagnostic criteria, complications, and treatment of the condition during pregnancy are explored. The major complication of IIH is visual loss. The International Headache Society 2013 criteria for idiopathic intracranial hypertension are: that the headache should remit after the CSF pressure is in the normal range, CSF pressure is greater than 250 mm, and the majority of patients have papilledema and other symptoms, which may include visual obscurations, pulsatile tinnitus, double vision, and neck or back pain. IIH treatment includes weight control, high-volume lumbar punctures, and medications.

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