Evidence map›Paper›PMID 35450962›Full record

ArticlePractical neurology2022

Managing idiopathic intracranial hypertension in pregnancy: practical advice.

Mark Thaller, Benjamin R Wakerley, Sally Abbott, Abd A Tahrani, Susan P Mollan, Alexandra J Sinclair

Open access · bronzeAbstract read
In one paragraph

Article in Practical neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Neurologic Complications of Pregnancy and Menopause.Continuum (Minneapolis, Minn.) · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. The UK CSF Disorders Day 2022.Neuro-ophthalmology (Aeolus Press) · 2023
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Mark ThallerMetabolic Neurology, University of Birmingham Institute of Metabolism and Systems Research, Birmingham, UK mark.thaller@nhs.net a.b.sinclair@bham.ac.uk.ORCID http://orcid.org/0000-0001-7772-2157
Benjamin R WakerleyMetabolic Neurology, University of Birmingham Institute of Metabolism and Systems Research, Birmingham, UK.ORCID http://orcid.org/0000-0003-1016-5207
Sally AbbottFaculty of Health and Life Sciences, Coventry University, Coventry, UK.ORCID http://orcid.org/0000-0002-1895-1942
Abd A TahraniInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0001-9037-1937
Susan P MollanMetabolic Neurology, University of Birmingham Institute of Metabolism and Systems Research, Birmingham, UK.ORCID http://orcid.org/0000-0002-6314-4437
Alexandra J SinclairMetabolic Neurology, University of Birmingham Institute of Metabolism and Systems Research, Birmingham, UK mark.thaller@nhs.net a.b.sinclair@bham.ac.uk.ORCID http://orcid.org/0000-0003-2777-5132
Queen Elizabeth Hospital Birmingham · GBUniversity Hospitals Coventry and Warwickshire NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Idiopathic intracranial hypertension (IIH) is more common in women of reproductive age who have obesity, yet there is little information on its management specifically in pregnancy. Women with IIH should plan their pregnancy including discussing contraception before pregnancy, recognising that hormonal contraceptives are not contraindicated. Potentially teratogenic medications including acetazolamide and topiramate are not recommended during pregnancy or in those with immediate plans to conceive; prescribing acetazolamide in pregnancy must only follow discussion with the patient and their obstetrician. Ideally, patients should aim to achieve disease remission or control before pregnancy, through optimising their weight. Although weight gain is expected in pregnancy, excessive weight gain may exacerbate IIH and increase maternal and fetal complications; evidence-based recommendations for non-IIH pregnancies may help in guiding optimal gestational weight gain. The vast majority of women with IIH can have a normal vaginal delivery, with spinal or epidural anaesthesia if needed, provided the papilloedema is stable or the IIH is in remission.

Indexed as

Intracranial HypertensionPseudotumor CerebriAcetazolamideFemaleHumansObesityPregnancyWeight GainAcetazolamideBENIGN INTRACRAN HYPMETABOLIC DISEASENEUROOPHTHALMOLOGYOBSTETRICS

Identifiers

PMID35450962
PMCPMC9304112
OpenAlexW4224278167

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.