This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies.  Read our Cookies Policy.
Close
Eye News
  • Features
    • Close
    • Features
    • Allied Professions
    • Humanitarian
    • Interviews
    • AI & Oculomics
    • Ophthalmology
    • Optometry
    • Podcast videos
    • Supplements
  • Education
    • Close
    • Education
    • Learning Curve
    • Quiz
    • Top Tips
    • Trainees
    • Medico-Legal
    • The Truth Behind The Headlines
    • Case Reports
    • Pete's Bogus Journey
  • Reviews
    • Close
    • Reviews
    • Book Reviews
    • Journal Reviews
    • What's trending?
    • Tech Reviews
    • My Top Five
    • The Culture Section
  • Events
  • News
  • Product Guide
  • Industry News
  • Contact us
    • Close
    • Contact us
    • Write for Eye News
  • Home
  • Reviews
  • Journal Reviews
  • Using lumbar puncture as a diagnostic tool of IIH when the presentation is typical

Using lumbar puncture as a diagnostic tool of IIH when the presentation is typical
Reviewed by Lauren Hepworth

1 December 2021 | Lauren R Hepworth | EYE - Neuro-ophthalmology
Share This

The authors present the findings of a retrospective observational chart review across three neuro-ophthalmology clinics. Databases at each clinic were searched using inclusion criteria based on established diagnostic criteria for idiopathic intracranial hypertension (IIH). Cases with missing data, atypical findings and less than one-year follow-up were excluded. A total of 156 patients were included in the analysis. None of the patients included in this analysis, all of whom had typical signs and symptoms, had their diagnosis or management changed by lumbar puncture (LP) or cerebral spinal fluid (CSF) analysis. The authors therefore question the practice of doing LPs on patients presenting with typical diagnostic criteria, when weighing up against the risks of the procedure. They believe experienced neuro-ophthalmologists (and they define what they mean by this) should have confidence in their diagnosis and use imaging to exclude alternative aetiologies. It is clear that further multicentre prospective studies are required to assess the balance of risk and benefit of LPs for the purpose of diagnosis and management planning for IIH.

 

Lumbar puncture for diagnosis of Idiopathic Intracranial Hypertension in typical patients.
Margolis MS, DeBusk AA, Moster ML, et al.
JOURNAL OF NEURO-OPHTHALMOLOGY
2021;41:375-8.
Share This
Lauren R Hepworth
CONTRIBUTOR
Lauren R Hepworth

University of Liverpool; Honorary Stroke Specialist Clinical Orthoptist, Northern Care Alliance NHS Foundation Trust; St Helen’s and Knowsley NHS Foundation Trust, UK.

View Full Profile
Specialty
  • EYE - Cataract
  • EYE - Cornea
  • EYE - General
  • EYE - Glaucoma
  • EYE - Neuro-ophthalmology
  • EYE - Oculoplastic
  • EYE - Oncology
  • EYE - Orbit
  • EYE - Paediatrics
  • EYE - Pathology
  • EYE - Refractive
  • EYE - Strabismus
  • EYE - Vitreo-Retinal
Archive
  • 2025
  • 2024
  • 2023
  • 2022
  • 2021
  • 2020
  • 2019
  • 2018
  • 2017
  • 2016
  • 2015
  • 2014
  • 2013

Top Of Page

9 Gayfield Square, 
Edinburgh EH1 3NT, UK.

Call: +44 (0)131 557 4184
www.pinpoint-scotland.com

WEBSITE DETAILS
  • Cookie Policy
  • Data Protection Notice
  • Privacy Policy
  • Terms and Conditions
ABOUT US
  • Who we are
  • Register
  • Contact us
  • Contributors
  • Company Awards
DIGITAL ISSUES/GUIDELINES
  • Digital issues - Library
  • Supplements - Library
  • Guidelines
Accreditations
IPSO_FLAG_TEAL 2025.png cpdcertified.png

Pinpoint Scotland Ltd (Registered in Scotland No. SC068684) | © 2025 - Website by Gecko Agency