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Other common symptoms include transient visual disturbance, memory and concentration loss, a whooshing noise in both ears, impairment of loss of smell, and coordination.

The transient visual disturbance, if left untreated, may lead to permanent blindness. The cause of this disease, which affects 1 in every , persons disproportionately affecting young overweight women , is unknown.

Diagnosis The disease itself causes increased intracranial pressure by increased amount of blood flow to the brain, a congestion of blood flow to the brain, or an increased amount of cerebrospinal fluid.

Idiopathic IH is diagnosed after an eye exam, neurological exam and brain scan. The eye exam is used to check for swelling of the optic nerve due to pressure from the spinal fluid papilledema.

The eye exam is followed by a brain scan, which eliminates the possibility of a tumor. It is of the utmost importance that a brain scan is performed before the next step, the spinal tap, to reduce the real and potentially irreversible effects of rapidly reducing intracranial pressure via spinal tap when a space occupying lesion is inside the skull.

If a tumor is present, and a spinal tap is performed, the reduction of spinal fluid can cause an increase of pressure from the tumor.

The step following the brain scan the spinal tap is not only diagnostic, but also therapeutic because once the cerebrospinal fluid causing the intracranial pressure has been drained, severe headaches are relieved very quickly.

Treatment Options To keep the pressure down, various medications are used such as diuretics like acetazolamide, or Diamox.

Corticosteroids are sometimes used to treat IIH but are typically avoided because they may cause weight gain and worsen IIH, and because steroid withdrawal can cause a severe IIH relapse and worsened vision.

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To further decrease pressure, weight loss is imperative if this is an issue for the patient. Following the spinal tap, every six months a patient should see her eye doctor to measure the progression of the disease visual field testing.

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