TY - JOUR T1 - Evaluation of sleep quality in patients with idiopathic intracranial hypertension AU - Yaman Kula, Aslı AU - Kanmaz, Duhan PY - 2024 DA - October Y2 - 2024 DO - 10.5472/marumj.1571896 JF - Marmara Medical Journal JO - Marmara Med J PB - Marmara University WT - DergiPark SN - 1019-1941 SP - 327 EP - 331 VL - 37 IS - 3 LA - en AB - ABSTRACTObjective: Idiopathic intracranial hypertension (IIH) is a condition that has no known cause and progresses with increased cerebrospinalfluid (CSF) pressure. Sleep apnea or other sleep disorders may occur with increased intracranial pressure (ICP). This study aims todetermine the relationship between the signs and symptoms of IIH and sleep quality.Patients and Methods: Three self-reported questionnaires, namely The Pittsburgh Sleep Quality Index (PSQI), the Epworth SleepinessScale (ESS), and the Beck Depression Inventory (BDI)) were administered to 31 IIH patients and the same number of controls and thescores were compared. Scores were analyzed according to the presence of symptoms in the IIH group. The correlation of these scoreswith ICP was evaluated.Results: Between the two groups, the IIH group had significantly higher PSQI scores (p=0.009). Also, a significant relationship wasshown between papilledema and PSQI scores (p=0.017); patients with papilledema had lower PSQI scores than patients withoutpapilledema. BMI values were higher in patients without papilledema (p = 0.031). In the IIH group, PSQI and BDI scores had a positivecorrelation (r = 0.638, p < 0.001).Conclusion: Sleep quality is impaired in patients with IIH, and the effect of being overweight in this deterioration is more pronouncedthan presence of papilledema. KW - Idiopathic intracranial hypertension KW - Sleep quality KW - cerebrospinal fluid pressure KW - Papilledema CR - Fargen KM, Coffman S, Torosian T, Brinjikji W, Nye BL, Hui F. ‘Idiopathic’ intracranial hypertension: An update from neurointerventional research for clinicians. Cephalalgia 2023; 43:333.102.4231161323. doi:10.1177/033.310.24231161323 CR - Kosmorsky GS. Idiopathic intracranial hypertension: pseudotumor cerebri. Headache 2014;54:389-93. doi:10.1111/ head.12284 CR - Markey KA, Mollan SP, Jensen RH, Sinclair AJ. Understanding idiopathic intracranial hypertension: mechanisms, management, and future directions. Lancet Neurol 2016;15:78- 91. 10.1016/S1474-4422(15)00298-7 CR - Tokatly Latzer I, Tauman R, Senderowich N, et al.: Sleep disturbances in adolescents with ıdiopathic ıntracranial hypertension. Pediatr Neurol 2023;142:39-46. doi: 10.1016/j. pediatrneurol.2023.02.006 CR - Kornbluh AB, Thompson K, Mcmahen G, et al. Sleep disturbance in pediatric ıntracranial hypertension. J Clin Sleep Med 2020;16:1099-105. doi: 10.5664/jcsm.8436 CR - Wall M, Corbett JJ. Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children. Neurology 2014;83:198-9. doi:10.1212/01. wnl.000.045.2039.32455.3e CR - Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193- 213. doi:10.1016/0165-1781(89)90047-4 CR - Gonçalves MT, Malafaia S, Moutinho Dos Santos J, Roth T, Marques DR. Epworth sleepiness scale: A meta-analytic study on the internal consistency. Sleep Med 2023;109:261-9. 10.1016/j.sleep.2023.07.008 CR - WHO Consultation on Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organization Tech Rep Ser 2000;894:i–xii, 1-253. CR - Marcus DM, Lynn J, Miller JJ, Chaudhary O, Thomas D, Chaudhary B. Sleep disorders: a risk factor for pseudotumor cerebri? J Neuroophthalmol 2001;21:121-3. doi:10.1097/00041.327.200106000-00014 CR - Rains JC, Poceta JS. Headache and sleep disorders: review and clinical implications for headache management. Headache 2006: 46:1344-63. doi:10.1111/j.1526-4610.2006.00578.x CR - Dodick DW, Eross EJ, Parish JM, Silber M. Clinical, anatomical, and physiologic relationship between sleep and headache. Headache 2003:43:282-92. doi:10.1046/j.1526- 4610.2003.03055.x CR - Raoof N, Hoffmann J. Diagnosis and treatment of idiopathic intracranial hypertension. Cephalalgia 2021;41:472-8. doi:10.1177/033.310.2421997093 CR - Wakerley BR, Tan MH, Ting EY. Idiopathic intracranial hypertension. Cephalalgia. 2015;35:248-61. doi:10.1177/033.310.2414534329 CR - Yokota A, Matsuoka S, Ishikawa T, Kohshi K, Kajiwara H. Overnight recordings of intracranial pressure and electroencephalography in neurosurgical patients. Part II: Changes in intracranial pressure during sleep. J UOEH 1989;11:383-91. doi:10.7888/juoeh.11.383 CR - Stephensen H, Tisell M, Wikkelsö C. Intracranial pressure during wakefulness and sleep in 55 adult patients with chronic hydrocephalus. Neurosurgery 2006;59:326-32; doi:10.1227/01. NEU.000.022.3513.89586.9A CR - Alperin N, Ranganathan S, Bagci AM, et al. MRI evidence of impaired CSF homeostasis in obesity-associated idiopathic intracranial hypertension. AJNR Am J Neuroradiol 2013;34:29-34. doi:10.3174/ajnr.A3171 CR - Bush AL, Armento MEA, Weiss BJ, et al. The Pittsburgh Sleep Quality Index in older primary care patients with generalized anxiety disorder: psychometrics and outcomes following cognitive behavioral therapy. Psychiatry Res 2012;199:24-30. doi:10.1016/j.psychres.2012.03.045 CR - Thurtell MJ, Trotti LM, Bixler EO, et al. Obstructive sleep apnea in idiopathic intracranial hypertension: comparison with matched population data. J Neurol 2013;260:1748-51. doi:10.1007/s00415.013.6858-6 CR - Sugita Y, Iijima S, Teshima Y, et al. Marked episodic elevation of cerebrospinal fluid pressure during nocturnal sleep in patients with sleep apnea hypersomnia syndrome. Electroencephalogr Clin Neurophysiol 1985;60:214-9. doi:10.1016/0013- 4694(85)90033-1 CR - Purvin VA, Kawasaki A, Yee RD. Papilledema and obstructive sleep apnea syndrome. Arch Ophthalmol 2000;118:1626-30. doi:10.1001/archopht.118.12.1626 CR - Szewka AJ, Bruce BB, Newman NJ, Biousse V. Idiopathic intracranial hypertension: relation between obesity and visual outcomes. J Neuroophthalmol 2013;33:4-8. doi:10.1097/ WNO.0b013e31823f852d CR - Fang H, Tu S, Sheng J, Shao A. Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment. J Cell Mol Med 2019;23:2324-32. doi:10.1111/ jcmm.14170 CR - Lewis BA, Gjerdingen D, Schuver K, Avery M, Marcus BH. The effect of sleep pattern changes on postpartum depressive symptoms. BMC Womens Health 2018;18:12. doi:10.1186/ s12905.017.0496-6 UR - https://doi.org/10.5472/marumj.1571896 L1 - https://dergipark.org.tr/en/download/article-file/4320640 ER -