The importance of specific rehabilitation for an obese patient with idiopathic intracranial hypertension: a case report
| Autor: | Stefania Bianchi Marzoli, Licia Grazzi, Paola Ciasca, Domenico D'Amico, Luisa Chiapparini, Alberto Raggi, Alessandra Erbetta, Giuseppe Faragò, Matilde Leonardi |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Diet Reducing Pseudotumor cerebri medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Physical exercise 03 medical and health sciences 0302 clinical medicine Weight loss Weight Loss medicine Humans Obesity 030212 general & internal medicine Carbonic Anhydrase Inhibitors Papilledema Intracranial pressure Pseudotumor Cerebri Rehabilitation business.industry medicine.disease Acetazolamide Malnutrition Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Rehabilitation Research. 41:183-185 |
| ISSN: | 0342-5282 |
| DOI: | 10.1097/mrr.0000000000000277 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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