Title |
Idiopathic intracranial hypertension, hormones, and 11ß-hydroxysteroid dehydrogenases
|
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Published in |
Journal of Pain Research, April 2016
|
DOI | 10.2147/jpr.s80824 |
Pubmed ID | |
Authors |
Keira A Markey, Maria Uldall, Hannah Botfield, Liam D Cato, Mohammed A L Miah, Ghaniah Hassan-Smith, Rigmor H Jensen, Ana M Gonzalez, Alexandra J Sinclair |
Abstract |
Idiopathic intracranial hypertension (IIH) results in raised intracranial pressure (ICP) leading to papilledema, visual dysfunction, and headaches. Obese females of reproductive age are predominantly affected, but the underlying pathological mechanisms behind IIH remain unknown. This review provides an overview of pathogenic factors that could result in IIH with particular focus on hormones and the impact of obesity, including its role in neuroendocrine signaling and driving inflammation. Despite occurring almost exclusively in obese women, there have been a few studies evaluating the mechanisms by which hormones and adipokines exert their effects on ICP regulation in IIH. Research involving 11β-hydroxysteroid dehydrogenase type 1, a modulator of glucocorticoids, suggests a potential role in IIH. Improved understanding of the complex interplay between adipose signaling factors such as adipokines, steroid hormones, and ICP regulation may be key to the understanding and future management of IIH. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 25% |
Unknown | 3 | 75% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 75% |
Science communicators (journalists, bloggers, editors) | 1 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 80 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 11 | 14% |
Student > Bachelor | 11 | 14% |
Student > Master | 9 | 11% |
Other | 7 | 9% |
Researcher | 6 | 8% |
Other | 8 | 10% |
Unknown | 28 | 35% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 19 | 24% |
Neuroscience | 8 | 10% |
Biochemistry, Genetics and Molecular Biology | 4 | 5% |
Agricultural and Biological Sciences | 3 | 4% |
Nursing and Health Professions | 3 | 4% |
Other | 9 | 11% |
Unknown | 34 | 43% |