Cerebrospinal fluid removal during spinal anaesthesia for caesarean delivery in a patient with idiopathic intracranial hypertension

Jamal Hasoon; Ivan Urits; Omar Viswanath; Vwaire Orhurhu; Uma Munnur

eISSN: 1731-2515
ISSN: 0209-1712

Anestezjologia Intensywna Terapia

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3/2020
vol. 52

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Letter to the Editor

Cerebrospinal fluid removal during spinal anaesthesia for caesarean delivery in a patient with idiopathic intracranial hypertension

Jamal Hasoon

¹

,

Ivan Urits

¹

,

Omar Viswanath

^{2, 3, 4}

,

Vwaire Orhurhu

⁵

,

Uma Munnur

⁶

Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School,  Boston, MA, USA
Valley Anesthesiology and Pain Consultants – Envision Physician Services, Phoenix, AZ, USA
University of Arizona College of Medicine – Phoenix, Department of Anesthesiology, Phoenix, AZ, USA
Creighton University School of Medicine, Department of Anesthesiology, Omaha, NE, USA
Massachusetts General Hospital, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USA
Department of Obstetric Anesthesiology, Baylor College of Medicine, Houston, TX, USA

Anestezjologia Intensywna Terapia 2020; 52, 3: 261–262

Online publish date: 2020/08/06

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Dear Editor,

Idiopathic intracranial hypertension (IIH), also known as pseudotumour cerebri or benign intracranial hypertension, is a neurologic condition that commonly affects obese females of child-bearing age [1]. IIH occurs when cerebrospinal fluid (CSF) accumulates abnormally in the brain, leading to elevated intracranial pressure (ICP) and symptoms such as headache, papilloedema, and vision changes. This accumulation of fluid may be due to an increase in fluid production or a decrease in fluid absorption. It is characterised by an increased ICP without signs of altered mental status, absence of intracranial lesions, and normal CSF composition [2, 3]. The incidence of IIH is greatest in obese females of childbearing age, with an estimated incidence of 7.9/100 000 [1].

Cerebrospinal fluid removal during spinal anaesthesia for caesarean delivery in a patient with idiopathic intracranial hypertension

Jamal Hasoon 1 , Ivan Urits 1 , Omar Viswanath 2, 3, 4 , Vwaire Orhurhu 5 , Uma Munnur 6

Jamal Hasoon

¹

,

Ivan Urits

¹

,

Omar Viswanath

^{2, 3, 4}

,

Vwaire Orhurhu

⁵

,

Uma Munnur

⁶