Dr. Tigran Khachatryan, MD, PhD.

Idiopathic Intracranial Hypertension Treatment

What is Idiopathic Intracranial Hypertension (Pseudotumor Cerebri)?

Idiopathic Intracranial Hypertension, also called Pseudotumor Cerebri, is a condition where pressure inside the skull becomes higher than it should be, without a brain tumor being the cause. That pressure can trigger headaches and can irritate the optic nerves, which may lead to vision changes.

Symptoms may come and go or build gradually. Because eyesight can be affected, getting evaluated promptly is important when signs suggest elevated pressure.

Idiopathic Intracranial Hypertension Treatment in Glendale, CA

When symptoms point to elevated intracranial pressure, I focus on confirming the cause, protecting vision, and reducing daily discomfort with a personalized plan. I am Tigran Khachatryan, MD, PhD, a neurovascular and endovascular neurologist practicing at the Armenian Neuroscience Institute, and I provide advanced, minimally invasive neurological care.

If you need an Idiopathic Intracranial Hypertension Diagnosis in Glendale, CA, I coordinate the key steps, including reviewing prior testing, arranging the right imaging, and using targeted procedures when appropriate for pressure assessment.

The same condition is often discussed as Pseudotumor Cerebri. Concerns about headaches and vision commonly bring people in for Pseudotumor Cerebri Treatment in Glendale, CA, and the first goal is a clear explanation of what the findings mean and what options are reasonable for you.

Procedures Used for Pressure Evaluation and Symptom Management

01.

Fluoroscopy-Guided Lumbar Puncture

A Fluoroscopy-Guided Lumbar Puncture measures cerebrospinal fluid pressure and can remove a small amount of fluid when that is appropriate. I use live X-ray guidance to help place the needle safely for most patients. Afterward, I review the opening pressure, lab results if collected, and your symptom response.

02.

Cerebral Venogram With Venous Pressure Gradient Measurements

A Cerebral Venogram With Venous Pressure Gradient Measurements is a catheter-based test that maps venous drainage and records pressure differences across narrow segments. This information can clarify whether venous sinus narrowing is contributing to your symptoms.

03.

Stent Angioplasty of Cerebral Venous Sinuses

Stent Angioplasty of Cerebral Venous Sinuses may be considered when venous testing shows a significant pressure gradient, and your clinical picture fits a pressure-related disorder. The procedure is designed to open a narrowed venous sinus to improve outflow.

04.

Shuntogram (Only if a Shunt Exists)

A Shuntogram evaluates the function of an existing CSF shunt by assessing flow and checking for possible blockage or disconnection. The results can help guide whether observation is reasonable or whether further shunt evaluation is needed.

05.

Fluoroscopy-Guided Placement of Lumbar Drain (Sometimes)

Fluoroscopy-Guided Placement of Lumbar Drain (Sometimes) can temporarily divert CSF to see how symptoms respond and to support short-term pressure control in selected situations. I place the catheter using imaging guidance, monitor for side effects, and coordinate the timing of removal.

Symptoms that May Suggest Elevated Intracranial Pressure

Symptoms vary, and some people have only one or two signs. If a diagnosis is being considered, these are common symptoms I review carefully during evaluation:

If more than three of these symptoms are shown, Idiopathic Intracranial Hypertension Treatment in Glendale, CA becomes necessary for you after diagnosis.

Causes and Risk Factors of Idiopathic Intracranial Hypertension

Idiopathic Intracranial Hypertension means pressure is high without a single clear cause on standard brain imaging. Factors that may play a role include weight changes, certain medications, hormonal influences, and venous sinus narrowing that affects drainage from the brain. Sometimes, no specific trigger is identified, and careful monitoring becomes part of care.

When patients ask about diagnosis and next steps, I explain what has been ruled out, what is still being evaluated, and how each test answers a specific question about pressure, drainage, and vision risk.

Get an Appointment in Glendale

I see patients at the Glendale office of Armenian Neuroscience Institute at 1505 Wilson Terrace, Suite 150, Glendale, CA 91206, and appointments are required.

To schedule Idiopathic Intracranial Hypertension Treatment in Glendale, please call +1 (833) 888-9933 during call hours Monday through Friday, 9:00 AM to 5:00 PM, and my team will help you find an appointment time.

If you were referred for Pseudotumor Cerebri Treatment in Glendale, CA, or you are exploring Pseudotumor Cerebri Treatment in Glendale for ongoing symptoms, I can review prior records and discuss whether additional pressure testing or venous evaluation may help your situation. New patients are welcome, and expedited consultations may be available based on scheduling needs.

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