Management of pseudotumor cerebri in pregnancy

Pseudotumor cerebri, or idiopathic intracranial hypertension (IIH) is a disorder characterized by increased intracranial pressure (ICP) with unknown etiology. It is most common in obese females of childbearing age and is subsequently of interest in the intersection of neurosurgery and obstetrics. Pregnant patients with IIH require special consideration with regard to imaging studies and medical management. Obstetric anesthesia remains controversial. Vaginal delivery is not contraindicated; delivery method should be deferred to the obstetrician. There is no increase in obstetric complications, birth defects, or visual complications in IIH patients when compared to controls.