Multidisciplinary management of idiopathic intracranial hypertension in pregnancy: case series and narrative review
Manejo multidisciplinar da hipertensão intracraniana idiopática na gravidez: série de casos e revisão narrativa
Sara Alves, Natacha Sousa, Luísa Cardoso, Joana Alves
Abstract
Idiopathic intracranial hypertension (IIH) is a neurological condition characterized by raised intracranial pressure of unknown etiology with normal cerebrospinal fluid (CSF) composition and no brain lesions. It occurs in pregnant patients at approximately the same frequency as in general population, but obstetric and anesthetic management of the pregnancy and labor remains controversial. In this article we provide a multidisciplinary review of the main aspects of IIH in pregnancy including treatment options, mode of delivery and anesthetic techniques. Additionally, we report three cases of pregnant women diagnosed with IIH between 2012 and 2019 in our institution.
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Resumo
A hipertensão intracraniana idiopática (HII) é uma condição neurológica caracterizada por pressão intracraniana elevada de etiologia desconhecida com composição normal do líquido cefalorraquidiano (LCR) e sem lesões cerebrais. Ocorre em pacientes grávidas com aproximadamente a mesma frequência que na população geral, mas o manejo obstétrico e anestésico da gravidez e do trabalho de parto permanece controverso. Neste artigo, fornecemos uma revisão multidisciplinar dos principais aspectos da HII na gravidez, incluindo opções de tratamento, tipo de parto e técnicas anestésicas. Adicionalmente, relatamos três casos de gestante com diagnóstico de HII entre 2012 e 2019 em nossa instituição. Publicado pela Elsevier Editora Ltda. em nome da Sociedade Brasileira de Anestesiologia. Este é um artigo de acesso aberto sob a licença CC BY-NC-ND (http://creativecommons.org/ licenses/by-nc-nd/4.0/).
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References
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