INTERDISCIPLINARY CONSENUS ON THE MANAGEMENT OF IIH IN THE UK
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.MethodsA systematic...
Gespeichert in:
| Veröffentlicht in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2016-12, Vol.87 (12), p.e1-e1 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e1 |
|---|---|
| container_issue | 12 |
| container_start_page | e1 |
| container_title | Journal of neurology, neurosurgery and psychiatry |
| container_volume | 87 |
| creator | Hassan-Smith, Ghaniah Mollan, Susan Davies, Brendan Shaw, Simon Chavda, Bhawisha Swarupsinh Krishnan, Anita Mallucci, Conor Silver, Nicholas Wakerley, Benjamin Sinclair, Alexandra |
| description | 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.MethodsA 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.Results44/66 questionnaires were returned. 51% would image (CT/MRI) patients with definite papilloedema |
| doi_str_mv | 10.1136/jnnp-2016-315106.26 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1846416158</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4267659331</sourcerecordid><originalsourceid>FETCH-LOGICAL-b1948-c7427bec9e0d492a85f48c364e2b7d9f77a92fec55bdb6a9f304c0f2e5e357c93</originalsourceid><addsrcrecordid>eNqNkL1OwzAURi0EEqXwBCyRWFgS_J94YIhC2lq0DmpTCSYrcR2pUZuUmA68PYnCxMRdvuGe7-rqAHCPYIAQ4U9105x8DBH3CWII8gDzCzBBlEc-IfD9EkwgxNgnkMFrcONcDYeJxAQ8S5Wn6xe5SeTbUqp4_eElmdqkarvxMuXli9RbxSqep6tU5V4286RceHJcbF9vwVVVHJy9-80p2M7SPFn4y2wuk3jpl0jQyDchxWFpjbBwRwUuIlbRyBBOLS7DnajCsBC4soaxclfyQlQEUgMrbJklLDSCTMHjePfUtZ9n6770ce-MPRyKxrZnp1FEOUUcsahHH_6gdXvumv67gWJ4wEhPkZEyXetcZyt96vbHovvWCOpBqR6U6kGpHpVqzPtWMLbKY_2vwg_JFHF9</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1845241613</pqid></control><display><type>article</type><title>INTERDISCIPLINARY CONSENUS ON THE MANAGEMENT OF IIH IN THE UK</title><source>BMJ Journals - NESLi2</source><creator>Hassan-Smith, Ghaniah ; Mollan, Susan ; Davies, Brendan ; Shaw, Simon ; Chavda, Bhawisha Swarupsinh ; Krishnan, Anita ; Mallucci, Conor ; Silver, Nicholas ; Wakerley, Benjamin ; Sinclair, Alexandra</creator><creatorcontrib>Hassan-Smith, Ghaniah ; Mollan, Susan ; Davies, Brendan ; Shaw, Simon ; Chavda, Bhawisha Swarupsinh ; Krishnan, Anita ; Mallucci, Conor ; Silver, Nicholas ; Wakerley, Benjamin ; Sinclair, Alexandra</creatorcontrib><description>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.MethodsA 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.Results44/66 questionnaires were returned. 51% would image (CT/MRI) patients with definite papilloedema <24 hrs and 40% would image between 24–48 hrs. In these patients 84% would then proceed to venography (50:50, MRV:CTV), conducted within 48 hrs in 74% respondents.79% never diagnosed IIH in those with a lumbar puncture pressure <25 cm CSF. Referral for neurosurgical intervention was predominantly for visual deterioration (83%) with only 2% referring exclusively for headache management. Neurosurgical procedures varied: 48% ventriculoperitoneal shunting, 33% lumboperitoneal shunting, 5% optic nerve sheath fenestration, 14% other and 0% venous stenting. A consensus on follow-up times, according to papilloedema severity and visual function (perimetry), was obtained.ConclusionsEvidence for IIH management is minimal. Consensus on many aspects of management was demonstrated which will help establish a practical guideline.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp-2016-315106.26</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group LTD</publisher><subject>Systematic review</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 2016-12, Vol.87 (12), p.e1-e1</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b1948-c7427bec9e0d492a85f48c364e2b7d9f77a92fec55bdb6a9f304c0f2e5e357c93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jnnp.bmj.com/content/87/12/e1.159.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://jnnp.bmj.com/content/87/12/e1.159.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3196,23571,27924,27925,77600,77631</link.rule.ids></links><search><creatorcontrib>Hassan-Smith, Ghaniah</creatorcontrib><creatorcontrib>Mollan, Susan</creatorcontrib><creatorcontrib>Davies, Brendan</creatorcontrib><creatorcontrib>Shaw, Simon</creatorcontrib><creatorcontrib>Chavda, Bhawisha Swarupsinh</creatorcontrib><creatorcontrib>Krishnan, Anita</creatorcontrib><creatorcontrib>Mallucci, Conor</creatorcontrib><creatorcontrib>Silver, Nicholas</creatorcontrib><creatorcontrib>Wakerley, Benjamin</creatorcontrib><creatorcontrib>Sinclair, Alexandra</creatorcontrib><title>INTERDISCIPLINARY CONSENUS ON THE MANAGEMENT OF IIH IN THE UK</title><title>Journal of neurology, neurosurgery and psychiatry</title><description>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.MethodsA 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.Results44/66 questionnaires were returned. 51% would image (CT/MRI) patients with definite papilloedema <24 hrs and 40% would image between 24–48 hrs. In these patients 84% would then proceed to venography (50:50, MRV:CTV), conducted within 48 hrs in 74% respondents.79% never diagnosed IIH in those with a lumbar puncture pressure <25 cm CSF. Referral for neurosurgical intervention was predominantly for visual deterioration (83%) with only 2% referring exclusively for headache management. Neurosurgical procedures varied: 48% ventriculoperitoneal shunting, 33% lumboperitoneal shunting, 5% optic nerve sheath fenestration, 14% other and 0% venous stenting. A consensus on follow-up times, according to papilloedema severity and visual function (perimetry), was obtained.ConclusionsEvidence for IIH management is minimal. Consensus on many aspects of management was demonstrated which will help establish a practical guideline.</description><subject>Systematic review</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkL1OwzAURi0EEqXwBCyRWFgS_J94YIhC2lq0DmpTCSYrcR2pUZuUmA68PYnCxMRdvuGe7-rqAHCPYIAQ4U9105x8DBH3CWII8gDzCzBBlEc-IfD9EkwgxNgnkMFrcONcDYeJxAQ8S5Wn6xe5SeTbUqp4_eElmdqkarvxMuXli9RbxSqep6tU5V4286RceHJcbF9vwVVVHJy9-80p2M7SPFn4y2wuk3jpl0jQyDchxWFpjbBwRwUuIlbRyBBOLS7DnajCsBC4soaxclfyQlQEUgMrbJklLDSCTMHjePfUtZ9n6770ce-MPRyKxrZnp1FEOUUcsahHH_6gdXvumv67gWJ4wEhPkZEyXetcZyt96vbHovvWCOpBqR6U6kGpHpVqzPtWMLbKY_2vwg_JFHF9</recordid><startdate>201612</startdate><enddate>201612</enddate><creator>Hassan-Smith, Ghaniah</creator><creator>Mollan, Susan</creator><creator>Davies, Brendan</creator><creator>Shaw, Simon</creator><creator>Chavda, Bhawisha Swarupsinh</creator><creator>Krishnan, Anita</creator><creator>Mallucci, Conor</creator><creator>Silver, Nicholas</creator><creator>Wakerley, Benjamin</creator><creator>Sinclair, Alexandra</creator><general>BMJ Publishing Group LTD</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7TK</scope></search><sort><creationdate>201612</creationdate><title>INTERDISCIPLINARY CONSENUS ON THE MANAGEMENT OF IIH IN THE UK</title><author>Hassan-Smith, Ghaniah ; Mollan, Susan ; Davies, Brendan ; Shaw, Simon ; Chavda, Bhawisha Swarupsinh ; Krishnan, Anita ; Mallucci, Conor ; Silver, Nicholas ; Wakerley, Benjamin ; Sinclair, Alexandra</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b1948-c7427bec9e0d492a85f48c364e2b7d9f77a92fec55bdb6a9f304c0f2e5e357c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hassan-Smith, Ghaniah</creatorcontrib><creatorcontrib>Mollan, Susan</creatorcontrib><creatorcontrib>Davies, Brendan</creatorcontrib><creatorcontrib>Shaw, Simon</creatorcontrib><creatorcontrib>Chavda, Bhawisha Swarupsinh</creatorcontrib><creatorcontrib>Krishnan, Anita</creatorcontrib><creatorcontrib>Mallucci, Conor</creatorcontrib><creatorcontrib>Silver, Nicholas</creatorcontrib><creatorcontrib>Wakerley, Benjamin</creatorcontrib><creatorcontrib>Sinclair, Alexandra</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database (ProQuest)</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Neurosciences Abstracts</collection><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hassan-Smith, Ghaniah</au><au>Mollan, Susan</au><au>Davies, Brendan</au><au>Shaw, Simon</au><au>Chavda, Bhawisha Swarupsinh</au><au>Krishnan, Anita</au><au>Mallucci, Conor</au><au>Silver, Nicholas</au><au>Wakerley, Benjamin</au><au>Sinclair, Alexandra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>INTERDISCIPLINARY CONSENUS ON THE MANAGEMENT OF IIH IN THE UK</atitle><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle><date>2016-12</date><risdate>2016</risdate><volume>87</volume><issue>12</issue><spage>e1</spage><epage>e1</epage><pages>e1-e1</pages><issn>0022-3050</issn><eissn>1468-330X</eissn><coden>JNNPAU</coden><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.MethodsA 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.Results44/66 questionnaires were returned. 51% would image (CT/MRI) patients with definite papilloedema <24 hrs and 40% would image between 24–48 hrs. In these patients 84% would then proceed to venography (50:50, MRV:CTV), conducted within 48 hrs in 74% respondents.79% never diagnosed IIH in those with a lumbar puncture pressure <25 cm CSF. Referral for neurosurgical intervention was predominantly for visual deterioration (83%) with only 2% referring exclusively for headache management. Neurosurgical procedures varied: 48% ventriculoperitoneal shunting, 33% lumboperitoneal shunting, 5% optic nerve sheath fenestration, 14% other and 0% venous stenting. A consensus on follow-up times, according to papilloedema severity and visual function (perimetry), was obtained.ConclusionsEvidence for IIH management is minimal. Consensus on many aspects of management was demonstrated which will help establish a practical guideline.</abstract><cop>London</cop><pub>BMJ Publishing Group LTD</pub><doi>10.1136/jnnp-2016-315106.26</doi></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-3050 |
| ispartof | Journal of neurology, neurosurgery and psychiatry, 2016-12, Vol.87 (12), p.e1-e1 |
| issn | 0022-3050 1468-330X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1846416158 |
| source | BMJ Journals - NESLi2 |
| subjects | Systematic review |
| title | INTERDISCIPLINARY CONSENUS ON THE MANAGEMENT OF IIH IN THE UK |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T22%3A39%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=INTERDISCIPLINARY%20CONSENUS%20ON%20THE%20MANAGEMENT%20OF%20IIH%20IN%20THE%20UK&rft.jtitle=Journal%20of%20neurology,%20neurosurgery%20and%20psychiatry&rft.au=Hassan-Smith,%20Ghaniah&rft.date=2016-12&rft.volume=87&rft.issue=12&rft.spage=e1&rft.epage=e1&rft.pages=e1-e1&rft.issn=0022-3050&rft.eissn=1468-330X&rft.coden=JNNPAU&rft_id=info:doi/10.1136/jnnp-2016-315106.26&rft_dat=%3Cproquest_cross%3E4267659331%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1845241613&rft_id=info:pmid/&rfr_iscdi=true |