Long Term Effects of Metabolic and Bariatric Surgery on Idiopathic Intracranial Hypertension

Adam Abu-Abeid, Anat Bendayan, Jawad Tome, Yonatan Lessing, Shai Meron Eldar, Andrei Keidar, Danit Dayan

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Idiopathic Intracranial Hypertension (IIH) is a rare disorder, linked to severe obesity. The study aimed to evaluate long-term effects of metabolic and bariatric surgery (MBS) on IIH outcomes. Methods: Retrospective study of patients with IIH and severe obesity who underwent MBS. Data were retrieved from prospectively maintained databases of two bariatric surgeons. Results: Thirteen patients were included, of them 12 women. Median age was 36 (interquartile range;IQR 21,47) years and body mass index (BMI) was 40.4 (IQR 37.8,41.8) kg/m2. All patients had visual disturbances,12/13 had headaches, and 6/13 had tinnitus. The mean opening pressure on lumbar puncture was 45 cmH2O, and 11/13 patients had papilledema. Medications for IIH were consumed by 11/13 patients, and 2/13 patients had prior surgical intervention for IIH. MBS types included sleeve gastrectomy (n=7), adjustable gastric banding (n=2), roux-en-y gastric bypass (n=2), one anastomosis gastric bypass (n=1), duodenal switch (n=1). At a median follow-up of 10 years (IQR 8,13), the median BMI and total weight loss were 29.7 kg/m2 and 27%, respectively. Remission of symptoms was achieved in 9/13 patients. Conclusions: MBS results in significant and sustainable weight loss, with subsequent resolution or improvement of IIH. It may be considered as a preventive measure for IIH in patients with severe obesity. Graphical Abstract: [Figure not available: see fulltext.]

Original languageEnglish
Pages (from-to)2615-2619
Number of pages5
JournalObesity Surgery
Volume33
Issue number8
DOIs
StatePublished - 1 Aug 2023
Externally publishedYes

Keywords

  • Idiopathic intracranial hypertension
  • Long term
  • Metabolic and bariatric surgery
  • Severe obesity

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Fingerprint

Dive into the research topics of 'Long Term Effects of Metabolic and Bariatric Surgery on Idiopathic Intracranial Hypertension'. Together they form a unique fingerprint.

Cite this