Management options

General treatment is to advise weight loss and if necessary to prescribe diuretics. In more severe cases, lumbar puncture and the removal of CSF may be recommended. Insertion of lumboperitoneal shunts and optic nerve sheath decompression have been performed in very severe cases.

There is no reason that these women should not be given appropriate regional analgesia or anaesthesia. There need be no anxiety about accidental dural puncture. Because of the relatively benign nature of the disease, general anaesthesia is not contraindicated, although peaks of raised intracranial pressure are to be avoided.

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