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dc.contributor.authorGoudie, Colin
dc.contributor.authorBurr, Jennifer
dc.contributor.authorBlaikie, Andrew
dc.identifier.citationGoudie , C , Burr , J & Blaikie , A 2018 , ' Incidence of idiopathic intracranial hypertension in Fife ' Scottish Medical Journal , vol. OnlineFirst .
dc.identifier.otherPURE: 256552229
dc.identifier.otherPURE UUID: 0e0be300-044d-44b1-8048-6cc1ce95d096
dc.identifier.otherRIS: urn:FFF4320A5E81818B15E557DD2A7A7AC9
dc.identifier.otherScopus: 85059946943
dc.description.abstractBackground and aims: Idiopathic intracranial hypertension is a clinical syndrome of intracranial hypertension with normal cerebrospinal fluid in the absence of a mass lesion or hydrocephalus on brain imaging. Headache is the most common symptom of idiopathic intracranial hypertension, and about 10-15% of patients suffer from irreversible visual impairment. Previous estimates of the annual incidence of idiopathic intracranial hypertension vary worldwide from 0.03 to 2.2 per 100,000. The major risk factor implicated in idiopathic intracranial hypertension is body mass. Scotland has one of the worst records for obesity in the developed world, and the prevalence of obesity in Fife is higher than the Scottish average. Our aim was to record the incidence of idiopathic intracranial hypertension in NHS Fife over a one-year period. Methods and results: Prospective study including every patient who was seen in the ophthalmology department in NHS Fife with a new diagnosis of idiopathic intracranial hypertension over a one-year period. Thirteen patients were seen with a new diagnosis of idiopathic intracranial hypertension from August 2013 to July 2014 giving an incidence of 3.56 per 100,000. Headache was the most common presenting symptom. Three patients were asymptomatic but were noted to have swollen optic discs during a routine sight test. One patient complained of visual symptoms. All patients were overweight. The mean BMI was 36 (range: 28-49). Conclusion: The incidence of idiopathic intracranial hypertension in NHS Fife was significantly higher than previous estimates in the literature. This is probably due to a high level of obesity in Fife. Scotland is in the midst of an obesity epidemic and if this continues we may see increasing levels of idiopathic intracranial hypertension nationally with associated increasing incidence of visual impairment in young adults.
dc.relation.ispartofScottish Medical Journalen
dc.rights© 2018, SAGE Publications. This work has been made available online in accordance with the publisher's policies. This is the author created accepted version manuscript following peer review and as such may differ slightly from the final published version. The final published version of this work is available at
dc.subjectRE Ophthalmologyen
dc.titleIncidence of idiopathic intracranial hypertension in Fifeen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.contributor.institutionUniversity of St Andrews.Infection and Global Health Divisionen
dc.description.statusPeer revieweden

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