Kalyvas et al.88. Kalyvas AV, Hughes M, Koutsarnakis C, et al. Efficacy, complications and cost of surgical interventions for idiopathic intracranial hypertension: a systematic review of the literature. Acta Neurochir (Wien).2017;159(1):33-49.
|
Systematic review of case series and case reports |
728 |
3a |
341 : optic nerve sheath fenestration 128: lumboperitoneal shunting 72: ventriculoperitoneal shunting 155: venous sinus stenting 32: bariatric surgery (29: gastric bypass; 2: gastroplasty; 1 : gastric banding) |
The studies were heterogeneous. No type of surgery proved to be clearly superior. Bariatric surgery presented a higher success rate among obese individuals but also a higher morbidity rate. |
Roth et al.99. Roth J, Constantini S, Kesler A. Over-drainage and persistent shuntdependency in patients with idiopathic intracranial hypertension treated with shunts and bariatric surgery. Surg Neurol Int. 2015;6(Suppl 27):S655-60.
|
Case series |
13 (6: shunting and bariatric surgery; 7: only shunting) |
4 |
Bariatric surgery in individuals who previously underwent shunting procedures vs. only shunting (4: sleeve gastrectomy; 2: gastric banding) |
Bariatric surgery is less effective and may lead to over-drainage symptoms in individuals who previously underwent shunting |
Handley et al.1010. Handley JD, Baruah BP, Williams DM, et al. Bariatric surgery as a treatment for idiopathic intracranial hypertension: a systematic review. Surg Obes Relat Dis. 2015;11(6):1396-403.
|
Systematic review |
65 |
3a |
Bariatric surgery (48: gastric bypass; 6: gastric banding; 4: gastroplasty; 5: sleeve gastrectomy) |
Overall improvement in 92% of the individuals; mean 18.9 cmH2O decrease in lumbar puncture pressure |
Levin et al.1111. Levin AA, Hess D, Hohler AD. Treatment of idiopathic intracranial hypertension with gastric bypass surgery. Int J Neurosci. 2015;125(1 ):78-80.
|
Case report |
1 |
4 |
Gastric bypass |
Improvement of headache and reversal of papilledema |
Egan et al.1212. Egan RJ, Meredith HE, Coulston JE, et al. The effects of laparoscopic adjustable gastric banding on idiopathic intracranial hypertension. Obes Surg. 2011 ;21 (2):161-6.
|
Case series |
4 |
4 |
Gastric banding |
Total resolution or significant improvement of headache (mean improvement in pain score of 76.3/100 (range 55-95) on an analogue pain scale) |
Fridley et al.1313. Fridley J, Foroozan R, Sherman V, Brandt ML,Yoshor D. Bariatric surgery for the treatment of idiopathic intracranial hypertension. J Neurosurg. 2011;114(1):34-9.
|
Systematic review |
62 |
3a |
Bariatric surgery (55: gastric bypass; 4: gastroplasty; 3: gastric banding) |
Resolution of headache in 92% of the individuals; mean 25.4 cmH2O decrease in CSF pressure |
Williams et al.1414. Williams A, Morgan J, Johnson A, et al. Resolution of Pseudotumor Cerebri following surgery for morbid obesity. J Surg Case Rep. 2010;2010(6):7.
|
Case report |
1 |
4 |
Gastric banding |
Complete resolution of headache and visual loss |
Stangherlin et al.1515. Stangherlin P, Ledeghen S, Scordidis V, Rubay R. Benign intracranial hypertension with recurrent spontaneous cerebrospinal fluid rhinorrhoea treated by laparoscopic gastric banding. Acta Chir Belg. 2008;108(5):616-8.
|
Case report |
1 |
4 |
Gastric banding |
Complete resolution of headache and CSF rhinorrhea |
Leslie et al.1616. Leslie DB, Kellogg TA, Boutelle KN, et al. Preserved vision without growth retardation after laparoscopic Roux-en-Y gastric bypass in a morbidly obese child with pseudotumor cerebri: 36-month follow-up. J Pediatr Surg. 2008;43(7):e27-30.
|
Case report |
1 |
4 |
Gastric bypass |
Complete resolution of visual loss |
Chandra et al.1717. Chandra V, Dutta S, Albanese CT, et al. Clinical resolution of severely symptomatic pseudotumor cerebri after gastric bypass in an adolescent. Surg Obes Relat Dis. 2007;3(2):198-200.
|
Case report |
1 |
4 |
Gastric bypass |
Complete resolution of visual loss |
Soto et al.1818. Soto FC, Antozzi P, Szomstein S, et, al. Indication for emergent gastric bypass in a patient with severe idiopathic intracranial hypertension: case report and review of the literature. Surg Obes Relat Dis. 2005;1 (5):503-5.
|
Case report |
1 |
4 |
Gastric bypass |
Complete resolution of headache, visual loss and dizziness |
Lazcano-Herrera etal.1919. Lazcano-Herrera EE, Romero-Hernández T, Martínez-Ordaz JL, BlancoBenavides R.Tratamiento del pseudotumor cerebri con cirugia bariátrica. Reporte de un caso. Cirugia y Cirujanos. 2005;73(5):375-8. Available from: http://www.medigraphic.com/pdfs/circir/cc-2005/cc055i.pdf. Accessed in 2017 (Feb 6). http://www.medigraphic.com/pdfs/circir/c...
|
Case report |
1 |
4 |
Modified jejunocolic bypass |
Complete resolution of headache and visual loss |
Nadkarni et al.2020. Nadkarni T, Rekate HL, Wallace D. Resolution of pseudotumor cerebri after bariatric surgery for related obesity. Case report. J Neurosurg. 2004;101(5):878-80.
|
Case report |
2 |
4 |
1: gastric bypass 1: gastric stapling |
Complete resolution of headache and visual loss |
Fontes et al.2121. Fontes D, Sanches MD, Nascimento SZ, et al. Cirurgia bariátrica no tratamento do pseudotumor cerebral: relato de caso [Bariatric surgery for treatment of pseudotumor cerebro: a case report]. Rev Méd Minas Gerais. 2003;13(4):292-3.
|
Case report |
1 |
4 |
Gastric bypass |
Complete resolution of headache and visual loss |
Sugerman et al.2222. Sugerman HJ, Felton WL 3rd, Sismanis A, et al. Gastric surgery for pseudotumor cerebri associated with severe obesity. Ann Surg. 1999;229(5):634-40; discussion 640-2.
|
Retrospective cohort |
24 |
2b |
23: gastric bypass 1: gastric banding |
Resolution of visual loss in 100% and headache and tinnitus in 94.7% of the individuals |