TY - JOUR
T1 - The importance of specific rehabilitation for an obese patient with idiopathic intracranial hypertension
T2 - A case report
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
N2 - 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.
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.
KW - chronic migraine
KW - depression
KW - idiopathic intracranial hypertension
KW - malnutrition
KW - obesity
KW - weight loss rehabilitation
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U2 - 10.1097/MRR.0000000000000277
DO - 10.1097/MRR.0000000000000277
M3 - Article
C2 - 29538049
AN - SCOPUS:85046870911
SN - 0342-5282
VL - 41
SP - 183
EP - 185
JO - International Journal of Rehabilitation Research
JF - International Journal of Rehabilitation Research
IS - 2
ER -