The importance of specific rehabilitation for an obese patient with idiopathic intracranial hypertension: A case report

Research output: Contribution to journalArticle

Abstract

Idiopathic intracranial hypertension (IIH) is associated with obesity, and weight loss is important to reduce intracranial pressure and improve visual function. A 38-year-old woman with IIH followed an extreme diet, which resulted in 30% weight loss (BMI moved from 34.9 to 24.6). Weight loss resulted in a significant reduction of papilloedema, normalization of intracranial pressure and improvement in headache pattern, but also induced a state of initial malnutrition, relevant depression and disability. She was discharged with the indication to start a controlled diet and improve physical activity: clinical situation get back to stability, with the patient loosing further weight (BMI=21.8) through a balanced diet and moderate physical exercise. Obese patients with IIH should be offered a comprehensive treatment approach consisting of diet and nutritional support, psychological counselling, indication to increase physical activity and, when appropriate, a specific rehabilitation programme.

Original languageEnglish
Pages (from-to)183-185
Number of pages3
JournalInternational Journal of Rehabilitation Research
Volume41
Issue number2
DOIs
Publication statusPublished - Jan 1 2018

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Pseudotumor Cerebri
Rehabilitation
Diet
Weight Loss
Intracranial Pressure
Exercise
Papilledema
Nutritional Support
Malnutrition
Headache
Counseling
Obesity
Depression
Psychology
Weights and Measures

Keywords

  • chronic migraine
  • depression
  • idiopathic intracranial hypertension
  • malnutrition
  • obesity
  • weight loss rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

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abstract = "Idiopathic intracranial hypertension (IIH) is associated with obesity, and weight loss is important to reduce intracranial pressure and improve visual function. A 38-year-old woman with IIH followed an extreme diet, which resulted in 30{\%} weight loss (BMI moved from 34.9 to 24.6). Weight loss resulted in a significant reduction of papilloedema, normalization of intracranial pressure and improvement in headache pattern, but also induced a state of initial malnutrition, relevant depression and disability. She was discharged with the indication to start a controlled diet and improve physical activity: clinical situation get back to stability, with the patient loosing further weight (BMI=21.8) through a balanced diet and moderate physical exercise. Obese patients with IIH should be offered a comprehensive treatment approach consisting of diet and nutritional support, psychological counselling, indication to increase physical activity and, when appropriate, a specific rehabilitation programme.",
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author = "Alberto Raggi and Licia Grazzi and {Bianchi Marzoli}, Stefania and Paola Ciasca and Luisa Chiapparini and Alessandra Erbetta and Giuseppe Farag{\`o} and Matilde Leonardi and Domenico D'Amico",
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AU - Raggi, Alberto

AU - Grazzi, Licia

AU - Bianchi Marzoli, Stefania

AU - Ciasca, Paola

AU - Chiapparini, Luisa

AU - Erbetta, Alessandra

AU - Faragò, Giuseppe

AU - Leonardi, Matilde

AU - D'Amico, Domenico

PY - 2018/1/1

Y1 - 2018/1/1

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AB - Idiopathic intracranial hypertension (IIH) is associated with obesity, and weight loss is important to reduce intracranial pressure and improve visual function. A 38-year-old woman with IIH followed an extreme diet, which resulted in 30% weight loss (BMI moved from 34.9 to 24.6). Weight loss resulted in a significant reduction of papilloedema, normalization of intracranial pressure and improvement in headache pattern, but also induced a state of initial malnutrition, relevant depression and disability. She was discharged with the indication to start a controlled diet and improve physical activity: clinical situation get back to stability, with the patient loosing further weight (BMI=21.8) through a balanced diet and moderate physical exercise. Obese patients with IIH should be offered a comprehensive treatment approach consisting of diet and nutritional support, psychological counselling, indication to increase physical activity and, when appropriate, a specific rehabilitation programme.

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KW - depression

KW - idiopathic intracranial hypertension

KW - malnutrition

KW - obesity

KW - weight loss rehabilitation

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