What are the best treatments for Intracranial Hypertension?

See the best treatments for Intracranial Hypertension here


Treatments for Intracranial Hypertension


Intracranial Hypertension, also known as pseudotumor cerebri, is a condition characterized by increased pressure within the skull. This can lead to various symptoms such as severe headaches, vision problems, and in some cases, even permanent vision loss. It is crucial to seek medical attention if you suspect you have intracranial hypertension, as early diagnosis and treatment can help prevent complications.



1. Medications


Medication is often the first line of treatment for intracranial hypertension. The primary goal of medication is to reduce the production of cerebrospinal fluid (CSF) or increase its absorption, thereby decreasing intracranial pressure. The most commonly prescribed medications include:



  • Diuretics: These medications help reduce fluid retention in the body, including the brain, by increasing urine production. Diuretics commonly used for intracranial hypertension include acetazolamide and furosemide.

  • Topiramate: Originally an antiepileptic drug, topiramate has shown effectiveness in reducing intracranial pressure and is often prescribed for this condition.

  • Corticosteroids: In some cases, corticosteroids may be prescribed to reduce inflammation and swelling in the brain, thereby alleviating symptoms.



2. Optic Nerve Sheath Fenestration


Optic nerve sheath fenestration is a surgical procedure that involves creating small openings in the protective covering of the optic nerve. This procedure helps relieve pressure on the optic nerve and can prevent further vision loss. It is typically recommended for individuals with severe vision problems or those who do not respond well to medication.



3. Ventriculoperitoneal Shunt


A ventriculoperitoneal (VP) shunt is a surgical procedure that involves placing a thin tube, called a shunt, into the brain's ventricles to divert excess cerebrospinal fluid to the abdominal cavity. This helps regulate the fluid buildup and reduces intracranial pressure. VP shunts are often recommended for individuals with severe intracranial hypertension or those who do not respond to other treatments.



4. Weight Loss and Lifestyle Modifications


For individuals who are overweight or obese, losing weight can significantly help reduce intracranial pressure. Adopting a healthy lifestyle, including regular exercise and a balanced diet, can contribute to weight loss and overall well-being. Additionally, avoiding activities that increase intracranial pressure, such as straining during bowel movements or intense physical exertion, can be beneficial.



5. Regular Eye Exams


Regular eye exams are crucial for individuals with intracranial hypertension, as they can help monitor any changes in vision and detect potential complications. Ophthalmologists can assess the optic nerve and recommend appropriate interventions if necessary.



6. Management of Underlying Conditions


In some cases, intracranial hypertension may be secondary to an underlying condition, such as hormonal imbalances or medication side effects. Treating the underlying cause can help alleviate intracranial hypertension symptoms. It is essential to work closely with healthcare professionals to identify and manage any contributing factors.



It is important to note that the treatment plan for intracranial hypertension may vary depending on the individual's specific condition and response to different interventions. Therefore, it is crucial to consult with a healthcare professional who can provide personalized recommendations and monitor the effectiveness of the chosen treatment approach.


by Diseasemaps

I was taken off all meds waiting for surgery after 90+ lps.

2/21/17 by Kate 1052

I personally use CBD to treat it and the symptoms seem to go completely

2/21/17 by Reagan 300

Diamox, Azomid, shunt

2/21/17 by Colleen 1000

For me Vp Shunt and Lasix

2/21/17 by Bloomingbeauti 1102

Treatments? They're more like bandaids. There's drugs like diamox and lasix that are water pills and help you drain the excess fluids but have awful side effects. There's pain medications. Botox injections. And than of course there's shunts and stents. Both very different. And there's spinal taps too. It's all very personal and the disease is very personal. What treatments work to help me may not help you.

2/21/17 by Deirdra 1000

VP Shunt, LP Shunt, VA Shunt

2/21/17 by Rangi 250

Treatments and their effectiveness vary from person to person. Weight loss works for some but not others. Medications such as acetazolamide and topiramate can provide relief for some. Therapeutic lumbar punctures help most sufferers. Occasionally surgery is an option for those who have exhausted other treatment options.

2/21/17 by Amy 1495

Diamox is my only treatment, loosing weight can be helpful. I went into a short remission when i lost 20lbs and entered the healthy bmi, but that only lasted a few months and it came back with a vengeance.

2/21/17 by Heather 351

Well the most common is the medication Diamox possibly along with Topamax. There's also surgery options of shunts (which is the tried and true method) and stents (which is newer and has very specific requirements for it). Some DR will say that weight loss will put people on remission but from most people I speak with said this makes their symptoms worse.

2/22/17 by Kathleen 450

Medication - Diamox VP or LP shunts Spinal taps Lumbar punctures

2/22/17 by Alet 1002

Everyone is different -- shunts or stents are popular. Medicine was Diamox and Topomax are very popular. Medical marijuana is becoming popular along with Botox.

2/22/17 by leighrach 750

Doctors try diamox or tompax first (both of which I am allergic to) VP and LP shunts are usually the next treatments doctors do. (I have already had one brain surgery and do not want another. Some people say they shunt was the best thing that has happened for them. Other people have horror stories and say it is the worst decision they have ever made. You have to decide what's best for you)

2/23/17 by Diane 1053

Diamox and Vp or LP shunt surgery for long term Lumbar punctures for short term

2/23/17 by Rhiannon 450

Shunt, lasix, normal spinal taps, topomax

2/24/17 by Maryssa 2100

Lasix & acetazolamide (diamox) With potassium tablets.( you need them because be loose potassium via urine through lasix, and it might also help in lethargy)

5/18/17 by Dr.M 701

Diamox, topamac, lp shunt and vp shunt

5/29/17 by Pooja A 600

Spinal taps , Diamox

5/29/17 by Talitha 400

Lumbar punctures drain the fluid from the spine and that can give temporary relief but is not a long term treatment as it can damage the spine. A Ventriculoperitoneal Shunt can be placed in the brain to drain the excess CSF fluid into the lower abdomen where is absorbs, i believe this is the most effective treatment.

8/11/17 by hannah.l18 1100

Acetazolamide, furosemide, possible vp shunt if medication doesn't work

8/12/17 by Brianna 300

Medications, like Diamox, Topamax and even Lasix can be used. When medications don't work, shunts are used, but new research has suggested that stenting for venous stenosis is the best approach. Optic Nerve sheath fenastration is also used.

8/12/17 by Christy 850

Medication, and/or shunt placement

8/13/17 by LaurynPatterson 1750

Lumbar punctures and shunts

8/15/17 by Mommy2Five 1500

Some people find shunts the best treatment some weight loss some tablets and lumbar punctures which I am having to relieve the pressure. As two shunts have failed on me

8/15/17 by Lynne 1600

I believe ing a shunt is the best treatment. I know they can easily break and surgery is risky but the medicines cause so many more issues that I'd rather have the shunt than put those medications in my body

8/18/17 by Unique cheatom 2120

Therapeutic lumbar punctures

10/16/17 by Melanie 600

My vp shunt saved my eyes but not stopped the pain

10/17/17 by Lucinda Sara (VDubsTDi) 511

I haven't found the best treatment but I always feel better after an l.p.

10/18/17 by Sara 2000

Therapeutic lumber punctures and shunts

10/19/17 by Julie 2000

Lumbar puncture Intracranial venous stent Medication - acetazolamide, topiramate, furosomide

10/20/17 by Sarah 500

Depends on the person. meds are started first then surgery if vision is lost rapidly.

10/28/17 by lisa 3365

Lumbar puncture or a shunt

10/29/17 by So 2000

I've only just started, first was a lumbar puncture to diagnose but it also helped because they drained fluid off, and now I'm on day two of diamox.

10/29/17 by Dotty 450

Pharmaceutical treatments such as Acetazolamide or Topiramate Weight-loss Surgical intervention such as optic nerve sheath fenistration, shunts and stents

2/18/18 by Kelly 2560

Water tablets are normally used first Diamox or Topamax or both at ths same time. Lasix can also be used, if meds dont work surgery might be needed. A VP shunt in the brain or L.p. shunt in the spine.

2/18/18 by Tiffany-Diane 400

Topirimate Lumbar puncture

2/18/18 by Sarahhxoxx 700

Usually Diamox or topiramate to start. Then every individual is different.

7/12/18 by Michelle 2050

Medications: diamox, topiramate, methazolamide, off label use of ozempic or other GLP-1 antagonists for their intracranial pressure reducing side effect. surgical: shunts (LP,VP,& VA most common), Optic nerve sheath fenestration, bariatric surgery to assist weight loss Other: weight loss,

8/12/23 by K 300
Translated from spanish Improve translation

Bypass peritoneal

6/7/17 by Lo. Translated
Translated from portuguese Improve translation

Shunt ventriculoperitoneal or lomboperitoneal

10/30/17 by Valquiria. Translated

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