Department of Clinical Neurosciences, Royal Infirmary of Edinburgh, Edinburgh, UK.
Department of Clinical Neurosciences, Royal Infirmary of Edinburgh, Edinburgh, UK.
Clin Neurol Neurosurg. 2022 Jun;217:107240. doi: 10.1016/j.clineuro.2022.107240. Epub 2022 Apr 13.
The management of IIH during pregnancy is a topic of clinical importance and it may pose a management challenge as most cases of IIH occur in women of childbearing age. Although there is a consensus that pregnant women with IIH should be treated similarly to non-pregnant patients, there are uncertainties regarding optimal management. This review aims to analyse current evidence and literature to help guide management of IIH during pregnancy. It is recommended that pregnant women with IIH are treated in health care settings that have access to multi-specialty input to optimise treatment. The management depends on disease severity with a treatment paradigm that encompasses conservative, medical and surgical management.
妊娠性 IIH 的管理是一个具有临床重要性的话题，由于大多数 IIH 病例发生在育龄妇女中，因此可能带来管理上的挑战。尽管人们普遍认为，应该对 IIH 孕妇采用与非孕妇相似的治疗方法，但在最佳管理方面仍存在不确定性。本综述旨在分析现有证据和文献，以帮助指导妊娠性 IIH 的管理。建议将 IIH 孕妇在能够获得多学科支持的医疗保健环境中进行治疗，以优化治疗效果。管理取决于疾病的严重程度，治疗方案包括保守治疗、药物治疗和手术治疗。
