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ARTICLE |

Computerized Tomography and Benign Intracranial Hypertension FREE

Peyton Delaney, MD; Dieter Schellinger, MD
JAMA. 1976;236(8):951-952. doi:10.1001/jama.1976.03270090045029
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Benign intracranial hypertension (BIH) is a recognized syndrome of unknown origin that conventionally has been diagnosed by excluding an underlying space-occupying lesion using invasive contrast procedures. Computerized tomography (CT) scanning of the head is a safe, accurate method of defining intracranial structures that were previously only discernible by invasive studies. Seven patients with headaches, papilledema, normal mental status, normal brain scan, and normal electroencephalogram had normal CT scans of the head. Patients suspected of BIH can be spared invasive contrast procedures if the CT scan of the head is normal.

(JAMA 236:951-952, 1976)

REFERENCES

Johnston I, Paterson A:  Benign intracranial hypertension: I. Diagnosis and prognosis . Brain 97:289-300, 1974;.
Broddie HG, Banna M, Bradley WG:  "Benign" intracranial hypertension: A survey of clinical and radiological features and long-term prognosis . Brain 97:313-326, 1974;.
Greer M:  Management of benign intracranial hypertension (pseudotumor cerebri) . Clin Neurosurg 15:161-174, 1968;.
Johnston I, Paterson A:  Benign intracranial hypertension: II. CSF pressure and circulation . Brain 97:301-312, 1974;.
Weisberg LA:  The syndrome of increased intracranial pressure without localizing signs: A reappraisal . Neurology 25:85-88, 1975;.
Ambrose J:  Computerized transverse axial scanning (tomography): II. Clinical application . Br J Radiol 46:1023-1047, 1973;.
New PFJ, Scott WR, Schnur JR, et al:  Computerized axial tomography with the EMI scanner . Radiology 110:109-123, 1974;.
Lightfoote WE, Pressman BD:  Increased intracranial pressure: Evaluation by computerized tomography . Am J Roentgenol, Radium Ther, Nucl Med 124:195-198, 1975;.
Schellinger D, DiChiro G, Axelbaum SP, et al:  Early clinical experience with the ACTA scanner . Radiology 114:257-261, 1975;.
Baker HL, Houser OW, Campbell JK, et al:  Computerized tomography of the head . JAMA 233:1304-1308, 1975;.
Hahn FJY, Rim K:  Frontal ventricular dimensions on normal computed tomography . Am J Roentgenol, Radium Ther, Nucl Med 126:593-596, 1976;.
Huckman MS, Fox J, Topel J:  The validity of criteria for the evaluation of cerebral atrophy by computed tomography . Radiology 116:85-92, 1975;.
Davidoff LM, Dyke CG:  Hypertensive meningeal hydrops syndrome frequently following infection in the middle ear and elsewhere in the body . Am J Ophthalmol 20:908-927, 1937;.
Ambrose J, Gooding MR, Richardson AE:  An assessment of the accuracy of computerized transverse-axial scanning (EMI Scanner) in the diagnosis of intracranial tumor: A review of 366 patients . Brain 98:569-582, 1975;.

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Johnston I, Paterson A:  Benign intracranial hypertension: I. Diagnosis and prognosis . Brain 97:289-300, 1974;.
Broddie HG, Banna M, Bradley WG:  "Benign" intracranial hypertension: A survey of clinical and radiological features and long-term prognosis . Brain 97:313-326, 1974;.
Greer M:  Management of benign intracranial hypertension (pseudotumor cerebri) . Clin Neurosurg 15:161-174, 1968;.
Johnston I, Paterson A:  Benign intracranial hypertension: II. CSF pressure and circulation . Brain 97:301-312, 1974;.
Weisberg LA:  The syndrome of increased intracranial pressure without localizing signs: A reappraisal . Neurology 25:85-88, 1975;.
Ambrose J:  Computerized transverse axial scanning (tomography): II. Clinical application . Br J Radiol 46:1023-1047, 1973;.
New PFJ, Scott WR, Schnur JR, et al:  Computerized axial tomography with the EMI scanner . Radiology 110:109-123, 1974;.
Lightfoote WE, Pressman BD:  Increased intracranial pressure: Evaluation by computerized tomography . Am J Roentgenol, Radium Ther, Nucl Med 124:195-198, 1975;.
Schellinger D, DiChiro G, Axelbaum SP, et al:  Early clinical experience with the ACTA scanner . Radiology 114:257-261, 1975;.
Baker HL, Houser OW, Campbell JK, et al:  Computerized tomography of the head . JAMA 233:1304-1308, 1975;.
Hahn FJY, Rim K:  Frontal ventricular dimensions on normal computed tomography . Am J Roentgenol, Radium Ther, Nucl Med 126:593-596, 1976;.
Huckman MS, Fox J, Topel J:  The validity of criteria for the evaluation of cerebral atrophy by computed tomography . Radiology 116:85-92, 1975;.
Davidoff LM, Dyke CG:  Hypertensive meningeal hydrops syndrome frequently following infection in the middle ear and elsewhere in the body . Am J Ophthalmol 20:908-927, 1937;.
Ambrose J, Gooding MR, Richardson AE:  An assessment of the accuracy of computerized transverse-axial scanning (EMI Scanner) in the diagnosis of intracranial tumor: A review of 366 patients . Brain 98:569-582, 1975;.
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