Prevalence of incidentally detected signs of intracranial hypertension on magnetic resonance imaging and their association with papilledema
JAMA Neurology Jun 15, 2021
Chen BS, Meyer BI, Saindane AM, et al. - In this prospective cross-sectional study, researchers sought to investigate the prevalence of magnetic resonance imaging (MRI) signs of intracranial hypertension (IH) among consecutive outpatients undergoing brain MRI for any clinical indication and to examine their relationship with papilledema. The median age of the 296 patients included in the study was 49.5 years (interquartile range, 37.8-62.0 years), with 188 patients (63.5%) being female. Surveillance of a brain neoplasm was the most common reason for an MRI. MRI signs of IH were common among patients who underwent brain MRI in this study, but they were rarely linked to papilledema. Unless there are concerning symptoms or papilledema, the management of patients with incidentally detected signs of IH does not likely necessitate systematic lumbar puncture.
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