The importance of specific rehabilitation for an obese patient with idiopathic intracranial hypertension: a case report. Issue 2 (June 2018)

• Record Type: Journal Article
• Authors: Raggi, Alberto; Grazzi, Licia; Bianchi Marzoli, Stefania; Ciasca, Paola; Chiapparini, Luisa; Erbetta, Alessandra; Faragò, Giuseppe; Leonardi, Matilde; D'Amico, Domenico
• Is Part Of: International journal of rehabilitation research. Volume 41:Issue 2(2018:Jun.)
• Publication Date: 2018-06
• Subjects: chronic migraine -- depression -- idiopathic intracranial hypertension -- malnutrition -- obesity -- weight loss rehabilitation; Rehabilitation -- Periodicals; Rehabilitation -- periodicals; Disabled Persons -- periodicals; 617.03
• DOI: 10.1097/MRR.0000000000000277
• Languages: English
• ISSNs: 0342-5282

Abstract

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.