ArticleThe ultrasound journal2025
Critical upward shift of intracranial pressure levels in extremely obese patients; normalization due to bariatric surgery.
Article in The ultrasound journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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6 authors.
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Abstract
backgroundIncrease in body mass index (BMI) is a risk factor for idiopathic intracranial hypertension (IIH). The matter of body weight and intracranial pressure (ICP) in clinically asymptomatic obese patients is unknown. We aimed at studying the relationship of ICP and BMI pre- and post-surgery in obese patients undergoing bariatric surgery.
methodsPatients with a BMI > 35 kg/m
results54 patients (43 female; 44 ± 11 years old) were included. Pre-surgery BMI (46 ± 6 kg/m
conclusionAssuming the low incidence of IIH, the frequency of pathologic and borderline ICP values in obese patients was unexpectedly high. Reduction of ICP with weight loss followed a simple regression line pointing to a mechanistic effect of increased body weight on ICP. The constancy of pathologic ONSD values might be due to a fixed dilatation of the optic nerve sheath due to the duration of obesity.
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