Clinical review highlights severe visual loss in fulminant idiopathic intracranial hypertension, indicating the need for emergent surgery and temporizing interventions.
Severe and rapidly progressive visual loss suggests "fulminant idiopathic intracranial hypertension" and should prompt aggressive management. Urgent surgery may be required in these patients, and temporizing measures such as repeat lumbar punctures, lumbar drainage, and IV steroids considered.
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Thambisetty et al. (2007) studied this question.
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