In Pseudotumor Cerebri, Hormonal Contraception is Not Associated, and the Diagnosis Remains Idiopathic Intracranial Hypertension

Editor: We congratulate Kilgore and associates1 on their retrospective, population-based, case-control study that showed that hormonal contraceptives, particularly the oral contraceptive pill (OCP), are not associated with idiopathic intracranial hypertension (IIH). [...]they did not exclude coagulo...

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Bibliographic Details
Published in:American journal of ophthalmology 2019-07, Vol.203, p.116-116
Main Authors: Lee, Brendon W.H., Lau, Fiona S., Francis, Ian C.
Format: Article
Language:English
Subjects:
Birth control
Case-Control Studies
Contraceptive Agents
Etiology
Hormonal Contraception
Humans
Hypertension
Medical personnel
Pseudotumor Cerebri
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Summary:Editor: We congratulate Kilgore and associates1 on their retrospective, population-based, case-control study that showed that hormonal contraceptives, particularly the oral contraceptive pill (OCP), are not associated with idiopathic intracranial hypertension (IIH). [...]they did not exclude coagulopathies, which is vital because the World Health Organization warns that the OCP in this environment is associated with an unacceptable health risk.2 Kilgore and associates1 are concerned that because the OCP and IIH are not causally associated, the investigation of a specific etiology may not be pursued. [...]Kilgore and associates1 consider that the patient should be given a diagnosis of IIH only when all underlying etiologies, after appropriate investigations, have been excluded, thereby permitting the best patient management.
ISSN:0002-9394
1879-1891
DOI:10.1016/j.ajo.2019.02.019