The importance of specific rehabilitation for an obese patient with idiopathic intracranial hypertension: a case report

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. Correspondence to Alberto Raggi, PsyD, PhD, Neurology, Public Health and Disability Unit, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy Tel: +39 02 2394 3105/+39 02 2394 2521; fax: +39 02 2394 2442; e-mail: alberto.raggi@istituto-besta.it Received January 19, 2018 Accepted February 13, 2018 Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

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