title: Patient-controlled intracranial pressure for managing idiopathic intracranial hypertension.
abstract: Idiopathic intracranial hypertension is a difficult condition to manage. We present a novel treatment that substantially improved the headaches and reduced admissions and shunt revision surgery in a patient. We inserted a ventriculoperitoneal shunt, performed subtemporal craniectomies, and instructed our patient to apply different sized headbands to allow her to anticipate and control her own intracranial pressure: a tight headband for low-pressure headaches; no band for high-pressure headaches. Magnetic resonance imaging and intracranial pressure monitoring revealed this was not a placebo effect.
authors.affiliation: Department of Neurosurgery, St. George's University of London, London, United Kingdom.
authors.forename: Melissa C
authors.initials: MC
authors.lastname: Werndle
authors.affiliation: St. Mary's University College, Twickenham, School of Sport, Health and Applied Science, London, United Kingdom.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Newling-Ward
authors.affiliation: Department of Neurosurgery, St. George's University of London, London, United Kingdom.
authors.forename: Marios C
authors.initials: MC
authors.lastname: Papadopoulos
mesh_terms: D000328:Adult; D058128:Compression Bandages; D056424:Decompressive Craniectomy / Q000379:methods; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension / Q000601:surgery / Q000628:therapy*; D007427:Intracranial Pressure / Q000502:physiology*; D012648:Self Care / Q000379:methods*; D017287:Ventriculoperitoneal Shunt / Q000379:methods