Loading…
Psychiatric disorders are a common prognostic marker for worse outcome in patients with idiopathic intracranial hypertension
•Psychiatric disorders are sevenfold more common in IIH patients compared to general population.•The IIH patients with pre-existing psychiatric diagnosis had more often empty sella at diagnosis.•The IIH patients with a pre-existing psychiatric diagnosis have worse subjective outcome. Idiopathic intr...
Saved in:
Published in: | Clinical neurology and neurosurgery 2019-11, Vol.186, p.105527-105527, Article 105527 |
---|---|
Main Authors: | , , , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c444t-3c79d9003aed7216b5d8539322cbcff52f59a79036a5955c16e5d7436833b343 |
---|---|
cites | cdi_FETCH-LOGICAL-c444t-3c79d9003aed7216b5d8539322cbcff52f59a79036a5955c16e5d7436833b343 |
container_end_page | 105527 |
container_issue | |
container_start_page | 105527 |
container_title | Clinical neurology and neurosurgery |
container_volume | 186 |
creator | Puustinen, Tero Tervonen, Joona Avellan, Cecilia Jyrkkänen, Henna-Kaisa Paterno, Jussi J. Hartikainen, Päivi Vanhanen, Ulla Leinonen, Ville Lehto, Soili M. Elomaa, Antti-Pekka Huttunen, Terhi J. |
description | •Psychiatric disorders are sevenfold more common in IIH patients compared to general population.•The IIH patients with pre-existing psychiatric diagnosis had more often empty sella at diagnosis.•The IIH patients with a pre-existing psychiatric diagnosis have worse subjective outcome.
Idiopathic intracranial hypertension (IIH) is aetiologically unknown disorder that associates with endocrinological disturbances, including dysfunction of hypothalamic-pituitary-adrenal-axis. Neuroendocrinological dysfunctions have also been characterized in psychiatric disorders, and therefore we investigated the presence of psychiatric disorders of patients with IIH in a well-defined cohort.
A total of 51 patients with IIH were included. Patient demographics, symptoms, imaging data, ophthalmological and clinical findings were collected.
At the time of diagnosis the mean age was 32.5years (SD 10.7), the body mass index was 37.1 kg/m2 (SD 7.4), and the opening pressure 29.1 mmHg (SD 6.2). A total of 88.2% of patients were female and 45.1% were diagnosed with a psychiatric co-morbidity prior to IIH diagnosis. The mean follow-up time was 4.4 years (SD 5.4). The overall treatment outcome was significantly poorer on a group of patients with psychiatric diagnosis when compared to individuals without such history (p = 0.001), but there were no differences in the resolution of papilledema (p = 0.405). Patients with IIH and psychiatric disorders had more often empty sella on their imaging at diagnosis when compared to patients without psychiatric co-morbidity (p = 0.044).
Psychiatric disorders are highly prevalent in patients with IIH and associate with worse subjective outcomes. These findings advocate for monitoring the mental health of patients with IIH and warrant further multidisciplinary research to understand the potentially underlying psychosocial and neuroendocrinological mechanisms. |
doi_str_mv | 10.1016/j.clineuro.2019.105527 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2301890343</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0303846719303233</els_id><sourcerecordid>2310271915</sourcerecordid><originalsourceid>FETCH-LOGICAL-c444t-3c79d9003aed7216b5d8539322cbcff52f59a79036a5955c16e5d7436833b343</originalsourceid><addsrcrecordid>eNqFkU1v1DAQhi0EokvhL1SWuHDJYsexk9xAFV9SJTj0bnntCeslsZexQ7USP56ptuXAhdNIo-edj_dl7EqKrRTSvD1s_RwTrJi3rZAjNbVu-ydsI4e-bcxohqdsI5RQzdCZ_oK9KOUghFDKDM_ZhZJ6MIPWG_b7Wzn5fXQVo-chlowBsHCHwB33eVly4kfM31MulYjF4Q9APmXkdxkL8LxWooBHwlyNkGrhd7HueQwxU2dPopgqOo8uRTfz_ekIWCGVmNNL9mxyc4FXD_WS3X78cHv9ubn5-unL9fubxnddVxvl-zGMdLyD0LfS7HQYtBpV2_qdnybdTnp0_SiUcXrU2ksDOvQdvarUTnXqkr05j6VHfq5Qql1i8TDPLkFei22VkAPJO0Xo63_QQ14x0XFESdH2cpSaKHOmPOZSECZ7xEjWnKwU9j4ee7CP8dj7eOw5HhJePYxfdwuEv7LHPAh4dwaA7PgVAW3xZKqHEBF8tSHH_-34A7b0pkk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2310271915</pqid></control><display><type>article</type><title>Psychiatric disorders are a common prognostic marker for worse outcome in patients with idiopathic intracranial hypertension</title><source>ScienceDirect Journals</source><creator>Puustinen, Tero ; Tervonen, Joona ; Avellan, Cecilia ; Jyrkkänen, Henna-Kaisa ; Paterno, Jussi J. ; Hartikainen, Päivi ; Vanhanen, Ulla ; Leinonen, Ville ; Lehto, Soili M. ; Elomaa, Antti-Pekka ; Huttunen, Terhi J.</creator><creatorcontrib>Puustinen, Tero ; Tervonen, Joona ; Avellan, Cecilia ; Jyrkkänen, Henna-Kaisa ; Paterno, Jussi J. ; Hartikainen, Päivi ; Vanhanen, Ulla ; Leinonen, Ville ; Lehto, Soili M. ; Elomaa, Antti-Pekka ; Huttunen, Terhi J.</creatorcontrib><description>•Psychiatric disorders are sevenfold more common in IIH patients compared to general population.•The IIH patients with pre-existing psychiatric diagnosis had more often empty sella at diagnosis.•The IIH patients with a pre-existing psychiatric diagnosis have worse subjective outcome.
Idiopathic intracranial hypertension (IIH) is aetiologically unknown disorder that associates with endocrinological disturbances, including dysfunction of hypothalamic-pituitary-adrenal-axis. Neuroendocrinological dysfunctions have also been characterized in psychiatric disorders, and therefore we investigated the presence of psychiatric disorders of patients with IIH in a well-defined cohort.
A total of 51 patients with IIH were included. Patient demographics, symptoms, imaging data, ophthalmological and clinical findings were collected.
At the time of diagnosis the mean age was 32.5years (SD 10.7), the body mass index was 37.1 kg/m2 (SD 7.4), and the opening pressure 29.1 mmHg (SD 6.2). A total of 88.2% of patients were female and 45.1% were diagnosed with a psychiatric co-morbidity prior to IIH diagnosis. The mean follow-up time was 4.4 years (SD 5.4). The overall treatment outcome was significantly poorer on a group of patients with psychiatric diagnosis when compared to individuals without such history (p = 0.001), but there were no differences in the resolution of papilledema (p = 0.405). Patients with IIH and psychiatric disorders had more often empty sella on their imaging at diagnosis when compared to patients without psychiatric co-morbidity (p = 0.044).
Psychiatric disorders are highly prevalent in patients with IIH and associate with worse subjective outcomes. These findings advocate for monitoring the mental health of patients with IIH and warrant further multidisciplinary research to understand the potentially underlying psychosocial and neuroendocrinological mechanisms.</description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2019.105527</identifier><identifier>PMID: 31586855</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Age ; Anxiety ; Body mass ; Body mass index ; Clinical outcomes ; Demographics ; Demography ; Diagnosis ; Family medical history ; Gastrointestinal surgery ; Headaches ; Hypertension ; Hypothalamic-pituitary-adrenal axis ; Hypothalamic-pituitary-adrenal-axis (HPA-axis) ; Hypothalamus ; Idiopathic intracranial hypertension (IIH) ; Intracranial pressure (ICP) ; Major depressive disorder (MDD) ; Mental disorders ; Morbidity ; Multidisciplinary research ; Neurology ; NMR ; Nuclear magnetic resonance ; Optic nerve ; Patients ; Pituitary ; Psychiatric disorders ; Schizophrenia ; Swelling ; Tinnitus</subject><ispartof>Clinical neurology and neurosurgery, 2019-11, Vol.186, p.105527-105527, Article 105527</ispartof><rights>2019 The Authors</rights><rights>Copyright © 2019 The Authors. Published by Elsevier B.V. All rights reserved.</rights><rights>2019. The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-3c79d9003aed7216b5d8539322cbcff52f59a79036a5955c16e5d7436833b343</citedby><cites>FETCH-LOGICAL-c444t-3c79d9003aed7216b5d8539322cbcff52f59a79036a5955c16e5d7436833b343</cites><orcidid>0000-0002-4282-4687 ; 0000-0002-5442-4314</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31586855$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Puustinen, Tero</creatorcontrib><creatorcontrib>Tervonen, Joona</creatorcontrib><creatorcontrib>Avellan, Cecilia</creatorcontrib><creatorcontrib>Jyrkkänen, Henna-Kaisa</creatorcontrib><creatorcontrib>Paterno, Jussi J.</creatorcontrib><creatorcontrib>Hartikainen, Päivi</creatorcontrib><creatorcontrib>Vanhanen, Ulla</creatorcontrib><creatorcontrib>Leinonen, Ville</creatorcontrib><creatorcontrib>Lehto, Soili M.</creatorcontrib><creatorcontrib>Elomaa, Antti-Pekka</creatorcontrib><creatorcontrib>Huttunen, Terhi J.</creatorcontrib><title>Psychiatric disorders are a common prognostic marker for worse outcome in patients with idiopathic intracranial hypertension</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description>•Psychiatric disorders are sevenfold more common in IIH patients compared to general population.•The IIH patients with pre-existing psychiatric diagnosis had more often empty sella at diagnosis.•The IIH patients with a pre-existing psychiatric diagnosis have worse subjective outcome.
Idiopathic intracranial hypertension (IIH) is aetiologically unknown disorder that associates with endocrinological disturbances, including dysfunction of hypothalamic-pituitary-adrenal-axis. Neuroendocrinological dysfunctions have also been characterized in psychiatric disorders, and therefore we investigated the presence of psychiatric disorders of patients with IIH in a well-defined cohort.
A total of 51 patients with IIH were included. Patient demographics, symptoms, imaging data, ophthalmological and clinical findings were collected.
At the time of diagnosis the mean age was 32.5years (SD 10.7), the body mass index was 37.1 kg/m2 (SD 7.4), and the opening pressure 29.1 mmHg (SD 6.2). A total of 88.2% of patients were female and 45.1% were diagnosed with a psychiatric co-morbidity prior to IIH diagnosis. The mean follow-up time was 4.4 years (SD 5.4). The overall treatment outcome was significantly poorer on a group of patients with psychiatric diagnosis when compared to individuals without such history (p = 0.001), but there were no differences in the resolution of papilledema (p = 0.405). Patients with IIH and psychiatric disorders had more often empty sella on their imaging at diagnosis when compared to patients without psychiatric co-morbidity (p = 0.044).
Psychiatric disorders are highly prevalent in patients with IIH and associate with worse subjective outcomes. These findings advocate for monitoring the mental health of patients with IIH and warrant further multidisciplinary research to understand the potentially underlying psychosocial and neuroendocrinological mechanisms.</description><subject>Age</subject><subject>Anxiety</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Clinical outcomes</subject><subject>Demographics</subject><subject>Demography</subject><subject>Diagnosis</subject><subject>Family medical history</subject><subject>Gastrointestinal surgery</subject><subject>Headaches</subject><subject>Hypertension</subject><subject>Hypothalamic-pituitary-adrenal axis</subject><subject>Hypothalamic-pituitary-adrenal-axis (HPA-axis)</subject><subject>Hypothalamus</subject><subject>Idiopathic intracranial hypertension (IIH)</subject><subject>Intracranial pressure (ICP)</subject><subject>Major depressive disorder (MDD)</subject><subject>Mental disorders</subject><subject>Morbidity</subject><subject>Multidisciplinary research</subject><subject>Neurology</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Optic nerve</subject><subject>Patients</subject><subject>Pituitary</subject><subject>Psychiatric disorders</subject><subject>Schizophrenia</subject><subject>Swelling</subject><subject>Tinnitus</subject><issn>0303-8467</issn><issn>1872-6968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNqFkU1v1DAQhi0EokvhL1SWuHDJYsexk9xAFV9SJTj0bnntCeslsZexQ7USP56ptuXAhdNIo-edj_dl7EqKrRTSvD1s_RwTrJi3rZAjNbVu-ydsI4e-bcxohqdsI5RQzdCZ_oK9KOUghFDKDM_ZhZJ6MIPWG_b7Wzn5fXQVo-chlowBsHCHwB33eVly4kfM31MulYjF4Q9APmXkdxkL8LxWooBHwlyNkGrhd7HueQwxU2dPopgqOo8uRTfz_ekIWCGVmNNL9mxyc4FXD_WS3X78cHv9ubn5-unL9fubxnddVxvl-zGMdLyD0LfS7HQYtBpV2_qdnybdTnp0_SiUcXrU2ksDOvQdvarUTnXqkr05j6VHfq5Qql1i8TDPLkFei22VkAPJO0Xo63_QQ14x0XFESdH2cpSaKHOmPOZSECZ7xEjWnKwU9j4ee7CP8dj7eOw5HhJePYxfdwuEv7LHPAh4dwaA7PgVAW3xZKqHEBF8tSHH_-34A7b0pkk</recordid><startdate>201911</startdate><enddate>201911</enddate><creator>Puustinen, Tero</creator><creator>Tervonen, Joona</creator><creator>Avellan, Cecilia</creator><creator>Jyrkkänen, Henna-Kaisa</creator><creator>Paterno, Jussi J.</creator><creator>Hartikainen, Päivi</creator><creator>Vanhanen, Ulla</creator><creator>Leinonen, Ville</creator><creator>Lehto, Soili M.</creator><creator>Elomaa, Antti-Pekka</creator><creator>Huttunen, Terhi J.</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4282-4687</orcidid><orcidid>https://orcid.org/0000-0002-5442-4314</orcidid></search><sort><creationdate>201911</creationdate><title>Psychiatric disorders are a common prognostic marker for worse outcome in patients with idiopathic intracranial hypertension</title><author>Puustinen, Tero ; Tervonen, Joona ; Avellan, Cecilia ; Jyrkkänen, Henna-Kaisa ; Paterno, Jussi J. ; Hartikainen, Päivi ; Vanhanen, Ulla ; Leinonen, Ville ; Lehto, Soili M. ; Elomaa, Antti-Pekka ; Huttunen, Terhi J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-3c79d9003aed7216b5d8539322cbcff52f59a79036a5955c16e5d7436833b343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Age</topic><topic>Anxiety</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Clinical outcomes</topic><topic>Demographics</topic><topic>Demography</topic><topic>Diagnosis</topic><topic>Family medical history</topic><topic>Gastrointestinal surgery</topic><topic>Headaches</topic><topic>Hypertension</topic><topic>Hypothalamic-pituitary-adrenal axis</topic><topic>Hypothalamic-pituitary-adrenal-axis (HPA-axis)</topic><topic>Hypothalamus</topic><topic>Idiopathic intracranial hypertension (IIH)</topic><topic>Intracranial pressure (ICP)</topic><topic>Major depressive disorder (MDD)</topic><topic>Mental disorders</topic><topic>Morbidity</topic><topic>Multidisciplinary research</topic><topic>Neurology</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Optic nerve</topic><topic>Patients</topic><topic>Pituitary</topic><topic>Psychiatric disorders</topic><topic>Schizophrenia</topic><topic>Swelling</topic><topic>Tinnitus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Puustinen, Tero</creatorcontrib><creatorcontrib>Tervonen, Joona</creatorcontrib><creatorcontrib>Avellan, Cecilia</creatorcontrib><creatorcontrib>Jyrkkänen, Henna-Kaisa</creatorcontrib><creatorcontrib>Paterno, Jussi J.</creatorcontrib><creatorcontrib>Hartikainen, Päivi</creatorcontrib><creatorcontrib>Vanhanen, Ulla</creatorcontrib><creatorcontrib>Leinonen, Ville</creatorcontrib><creatorcontrib>Lehto, Soili M.</creatorcontrib><creatorcontrib>Elomaa, Antti-Pekka</creatorcontrib><creatorcontrib>Huttunen, Terhi J.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Journals (ProQuest)</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical neurology and neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Puustinen, Tero</au><au>Tervonen, Joona</au><au>Avellan, Cecilia</au><au>Jyrkkänen, Henna-Kaisa</au><au>Paterno, Jussi J.</au><au>Hartikainen, Päivi</au><au>Vanhanen, Ulla</au><au>Leinonen, Ville</au><au>Lehto, Soili M.</au><au>Elomaa, Antti-Pekka</au><au>Huttunen, Terhi J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychiatric disorders are a common prognostic marker for worse outcome in patients with idiopathic intracranial hypertension</atitle><jtitle>Clinical neurology and neurosurgery</jtitle><addtitle>Clin Neurol Neurosurg</addtitle><date>2019-11</date><risdate>2019</risdate><volume>186</volume><spage>105527</spage><epage>105527</epage><pages>105527-105527</pages><artnum>105527</artnum><issn>0303-8467</issn><eissn>1872-6968</eissn><abstract>•Psychiatric disorders are sevenfold more common in IIH patients compared to general population.•The IIH patients with pre-existing psychiatric diagnosis had more often empty sella at diagnosis.•The IIH patients with a pre-existing psychiatric diagnosis have worse subjective outcome.
Idiopathic intracranial hypertension (IIH) is aetiologically unknown disorder that associates with endocrinological disturbances, including dysfunction of hypothalamic-pituitary-adrenal-axis. Neuroendocrinological dysfunctions have also been characterized in psychiatric disorders, and therefore we investigated the presence of psychiatric disorders of patients with IIH in a well-defined cohort.
A total of 51 patients with IIH were included. Patient demographics, symptoms, imaging data, ophthalmological and clinical findings were collected.
At the time of diagnosis the mean age was 32.5years (SD 10.7), the body mass index was 37.1 kg/m2 (SD 7.4), and the opening pressure 29.1 mmHg (SD 6.2). A total of 88.2% of patients were female and 45.1% were diagnosed with a psychiatric co-morbidity prior to IIH diagnosis. The mean follow-up time was 4.4 years (SD 5.4). The overall treatment outcome was significantly poorer on a group of patients with psychiatric diagnosis when compared to individuals without such history (p = 0.001), but there were no differences in the resolution of papilledema (p = 0.405). Patients with IIH and psychiatric disorders had more often empty sella on their imaging at diagnosis when compared to patients without psychiatric co-morbidity (p = 0.044).
Psychiatric disorders are highly prevalent in patients with IIH and associate with worse subjective outcomes. These findings advocate for monitoring the mental health of patients with IIH and warrant further multidisciplinary research to understand the potentially underlying psychosocial and neuroendocrinological mechanisms.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>31586855</pmid><doi>10.1016/j.clineuro.2019.105527</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-4282-4687</orcidid><orcidid>https://orcid.org/0000-0002-5442-4314</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0303-8467 |
ispartof | Clinical neurology and neurosurgery, 2019-11, Vol.186, p.105527-105527, Article 105527 |
issn | 0303-8467 1872-6968 |
language | eng |
recordid | cdi_proquest_miscellaneous_2301890343 |
source | ScienceDirect Journals |
subjects | Age Anxiety Body mass Body mass index Clinical outcomes Demographics Demography Diagnosis Family medical history Gastrointestinal surgery Headaches Hypertension Hypothalamic-pituitary-adrenal axis Hypothalamic-pituitary-adrenal-axis (HPA-axis) Hypothalamus Idiopathic intracranial hypertension (IIH) Intracranial pressure (ICP) Major depressive disorder (MDD) Mental disorders Morbidity Multidisciplinary research Neurology NMR Nuclear magnetic resonance Optic nerve Patients Pituitary Psychiatric disorders Schizophrenia Swelling Tinnitus |
title | Psychiatric disorders are a common prognostic marker for worse outcome in patients with idiopathic intracranial hypertension |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-14T02%3A29%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Psychiatric%20disorders%20are%20a%20common%20prognostic%20marker%20for%20worse%20outcome%20in%20patients%20with%20idiopathic%20intracranial%20hypertension&rft.jtitle=Clinical%20neurology%20and%20neurosurgery&rft.au=Puustinen,%20Tero&rft.date=2019-11&rft.volume=186&rft.spage=105527&rft.epage=105527&rft.pages=105527-105527&rft.artnum=105527&rft.issn=0303-8467&rft.eissn=1872-6968&rft_id=info:doi/10.1016/j.clineuro.2019.105527&rft_dat=%3Cproquest_cross%3E2310271915%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c444t-3c79d9003aed7216b5d8539322cbcff52f59a79036a5955c16e5d7436833b343%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2310271915&rft_id=info:pmid/31586855&rfr_iscdi=true |