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Intercranial Hypertension

40 replies

Mumma02 · 13/02/2021 14:37

Does anyone suffer with this and can anyone describe what symptoms they had, specifically what kind of headaches? I understand that it is rare. Thank you.

OP posts:
Mumma02 · 21/02/2021 13:07

Also did anyone else suffer from neck pain? This is a new symptom for me but my neck is so sore even without the headache!

OP posts:
teenmumandsowhat · 21/02/2021 13:18

Yes to the neck pain

Hm2020 · 21/02/2021 17:12

My neck was stiff and I remember a neurologist asking and then examining it and said it’s a classic sign

KaySam · 22/02/2021 11:32

[quote Mumma02]@Kylorey yes I paid extra to have the photograph. I was getting persistant headaches. They went away for a bit but now back. Neurologist diagnosed muscle spasm headaches but I'm not so sure. I feel sick quite a lot. My neck is now also very painful. Fed up of feeling ill all the time and whenever I go on the forums to speak to people with it, most have to have brain surgery or live in severe pain. I'm 32 with 2 very young children. Sad[/quote]
Remember the majority of people who post on the forums are struggling,you don’t really see the ones who’re ok and have no symptoms.

I was very overweight and then lost lots of weight but I also had 2 shunts fitted.
I do think weight loss helps,but saying that if it doesn’t help the iih it will help your health.

daisyjgrey · 22/02/2021 11:34

I have always had migraines, I assumed what I had was another one. It lasted about two weeks, I started to get very bad tinnitus and eventually my peripheral vision started to go.

I went to a&e and they did some Neuro checks and looked in my eyes and the dr got all excited and said he hadn't "caught" one of these before. Got admitted and had a CT, MRI etc, eventually had a lumbar puncture and pressure was 60+ (each tube goes up to 30 and they had put two on, it shot out of the top). After diagnosis it was a couple of weeks of medications and lumbar punctures and a fairly impressive leak which resulted in a readmission and a blood patch to fix it. In the first couple of years after diagnosis I had around 20 LP's.

I've had it about 6/7 years now and have found an approach that works. I have a lumbar puncture, am medication free until I feel symptoms and then I start taking acetazolamide, first one a day until symptoms come back, then two, then three etc. I've found I can stretch out the lumber punctures to roughly one every 6-12 months this way. I've also found that I have a 'limit' to how much medication I can tolerate before I turn into a melted ice cream, any more than 4/5 a day and I start to not function properly, sleeping a lot, memory loss etc.

I've chosen not to have surgery yet and treat it as a worst case scenario. LP shunts which drain from your lumbar space into your stomach have a high rate of needing follow up surgeries and VP shunts which drain from your brain to stomach is another undertaking, I am very wary of brain surgery if I can avoid it, plus you have to surrender your driving licence until your neurologist clears you (around 6 months) and I can't afford to do that!

Like previous posters have said, dedicated forum boards are a difficult place to be. They tend to only have people who are suffering a lot (or like to talk about suffering a lot) and its quite a gloomy place to be. They're occasionally handy for asking questions but often the advice isn't correct and people have so many other things going on health wise that what works for one doesn't for another.

I was originally told it was weight related, and was asked to lose weight. However the evidence is extremely unclear (otherwise it wouldn't be idiopathic) and I had a good neurologist for a year or two who worked out that mine was highly probably hormone related. I went on the pill at 14, then the implant and 18, implant removed, had a baby, breastfed and then 6 months after breastfeeding I developed IIH. He explained it may have something to do with my body not actually having had a natural hormone level from puberty. It makes sense as I now take no contraception and am heavier than I was before and for the first time in my life I have a clockwork menstrual cycle and I'm going longer between LP's/taking less medication for longer.

Mumma02 · 23/02/2021 12:20

@daisyjgrey that sounds awful! I can't believe the doctor got excited. Did your mri/ct scans show anything before they did the lumbar? The thought of one lumbar puncture terrifies me, let alone 20. Have they told you, you will have this for life then with your ongoing treatment? Sad

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Crossfingersandtoes · 23/02/2021 12:30

Don't look at the forums they will scare you. Mostly people where stuff hasn't worked but many many people cope really well with this illness! If you have it then drugs will be the first way to make it better. Acetazolomide can be difficult to get used to but I did and now don't even really notice I take it. My first symptoms were pulsatile tinnitus and headaches. The tinnitus has never really gone away which is annoying but I have got used to it and barely notice it now. My neuro said if I took the drugs religiously there would be no need to think about shunts etc and he was right. Have yearly appointments to check my optic nerves and then a check I. With the neuro to ok medication for the next six months. Still get headaches but I don't think these are pressure related ones anymore - those early morning headaches with some brain fog again all died down after the medication kicked in. If you do have this then honestly in most cases it is fine and the medication works easily. But as I said - if you go to the forums you will find people who can't or don't take the drugs and have all kinds of problems and I don't think that is the majority of people with the illness

Crossfingersandtoes · 23/02/2021 12:31

Oh and I had one lumbar puncture just to diagnose and it wasn't nice but not awful

daisyjgrey · 23/02/2021 13:36

Presumably until it goes into remission. I think was just unlucky with the lots of LP's in a short space of time really. Out of them all I've only had about three that were actually bad, the rest were just unpleasant.

Oddly a few people get excited, the optician did as well 😂

I can't remember if the scans showed anything, presumably it was nothing awful though or I'd have known more about it at the time.

I think the trick is to find a way to manage it and go with what's best for you, do your research and don't let yourself get rushed/pressured into things.

Mumma02 · 23/02/2021 18:18

@Crossfingersandtoes have they said you have to take medication for life now then? Thank you for all your replies...you're all so brave! I'm still in limbo but all my symptoms point to this horrible disease. You are all right about the forums. 90% of people on there have brain shunts which is terrifying. I've never even fainted let alone had a g.a for brain surgery!!! Sad

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Copperblack · 23/02/2021 19:36

To reassure you ( I totally agree the forums should be avoided), I was ill for a couple of months, thinking this was my new life ( I read too many forums), but then I settled on the meds. After a year I started weaning myself off them and I was ok and have been symptom free for 3 years. It’s one of those I’ll eases that responds to self care - better nutrition, reducing your strsss and taking the meds will help. I had a few admissions to hospital in the first couple of months and met other people with IIH. The ones in repeatedly were not taking their meds and had lots of stress ( I’m sure that is not always the case), but it really does make a difference.

daisyjgrey · 23/02/2021 21:00

@Copperblack

A lot of the people on the forums almost seem to enjoy the moan I think (which doesn't sound very charitable but you know what I mean). They seem to go out of their way to make their lives more difficult and there's a lot of wallowing on there. It sucks you in!

Crossfingersandtoes · 23/02/2021 21:30

No plan for the medication other than to take it for as long as I need to. Sometimes I am a bit rubbish at getting my prescription and I run out for a couple of days and the tinnitus comes back with a vengeance so I kind of know I still need to take it. Optic nerves are all fine now and have been for years so no worries about my sight etc. I don't really notice I take it now - my dose is low and I just take one tablet before I go to sleep (find it easier than taking it in the morning as it can give you annoying pins and needles). There are lots of options to try and a shunt and surgery is a worst case scenario - I don't know anyone else who has this so I can't gauge really how much of it is luck mine isn't so bad and how much it is about being open to taking the medication and being able to tolerate it. I have to say the thing that I found hardest was coming to terms with the fact I had something doctors couldn't fix rather than the physical aspects. If it is IIH keep an open mind about options and try not to assume the worst - neurologists are amazing and they really do have experience of this although it is not very common

daisyjgrey · 23/02/2021 22:10

@Crossfingersandtoes

Have you seen Pharmacy2u? You can order medication through the app and it reminds you before you run out. Was a game changer!

Crossfingersandtoes · 23/02/2021 22:20

I haven't no will check it out thanks!

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