When weight loss is not self-motivated: Cognitive behavioral and medical nutrition therapy for weight management in a case of idiopathic intracranial hypertension

Abstract

Idiopathic Intracranial Hypertension (IIH), also known as pseudotumor cerebri, is a rare syndrome of elevated intracranial pressure of unknown cause mainly occurring in obese females of childbearing age [1]. As it can be only diagnosed with exclusion of other disease, a detailed clinical history, imaging and cerebrospinal fluid examination are essential. Symptoms include intracranial pressure, including headaches and papilledema, which can result in progressive irreversible visual loss and optic atrophy. Treatment depends on the disease stage and aims to alleviate symptoms and preserve problems in vision. Additionally, weight management is recommended aiming a weight loss of at least 5-10% in obese patients, along with a low-salt diet.