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Title: Idiopathic intracranial hypertension in men
Authors: B. B. Bruce
S. Kedar
G. P. Van Stavern
D. Monaghan
M. D. Acierno
R. A. Braswell
P. Preechawat
J. J. Corbett
N. J. Newman
V. Biousse
Emory University
University of Mississippi
Wayne State University
Louisiana State University
University of Alabama
Mahidol University
Emory Eye Center
Keywords: Medicine
Issue Date: 27-Jan-2009
Citation: Neurology. Vol.72, No.4 (2009), 304-309
Abstract: OBJECTIVE: To compare the characteristics of idiopathic intracranial hypertension (IIH) in men vs women in a multicenter study. METHODS: Medical records of all consecutive patients with definite IIH seen at three university hospitals were reviewed. Demographics, associated factors, and visual function at presentation and follow-up were collected. Patients were divided into two groups based on sex for statistical comparisons. RESULTS: We included 721 consecutive patients, including 66 men (9%) and 655 women (91%). Men were more likely to have sleep apnea (24% vs 4%, p < 0.001) and were older (37 vs 28 years, p = 0.02). As their first symptom of IIH, men were less likely to report headache (55% vs 75%, p < 0.001) but more likely to report visual disturbances (35% vs 20%, p = 0.005). Men continued to have less headache (79% vs 89%, p = 0.01) at initial neuro-ophthalmologic assessment. Visual acuity and visual fields at presentation and last follow-up were significantly worse among men. The relative risk of severe visual loss for men compared with women was 2.1 (95% CI 1.4-3.3, p = 0.002) for at least one eye and 2.1 (95% CI 1.1-3.7, p = 0.03) for both eyes. Logistic regression supported sex as an independent risk factor for severe visual loss. CONCLUSION: Men with idiopathic intracranial hypertension (IIH) are twice as likely as women to develop severe visual loss. Men and women have different symptom profiles, which could represent differences in symptom expression or symptom thresholds between the sexes. Men with IIH likely need to be followed more closely regarding visual function because they may not reliably experience or report other symptoms of increased intracranial pressure. © 2009 by AAN Enterprises, Inc.
ISSN: 1526632X
Appears in Collections:Scopus 2006-2010

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