{"id":2115,"date":"2019-09-24T20:34:10","date_gmt":"2019-09-24T20:34:10","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=2171"},"modified":"2026-01-28T19:11:51","modified_gmt":"2026-01-28T19:11:51","slug":"intracranial-hypertension","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/intracranial-hypertension\/","title":{"rendered":"Criterios Diagn\u00f3stico para Hipertensi\u00f3n Intracraneal Idiop\u00e1tica (HII)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La combinaci\u00f3n de presi\u00f3n intracraneal elevada, sin hidrocefalia o lesi\u00f3n masa tumoral, composici\u00f3n normal de l\u00edquido cefalorraqu\u00eddeo (LCR) y donde no se encuentra etiolog\u00eda subyacente son criterios aceptados para el diagn\u00f3stico de hipertensi\u00f3n intracraneal idiop\u00e1tica (HII).<!--more--><\/p>\n<p><strong>Criterios Diagn\u00f3stico para Hipertensi\u00f3n Intracraneal Idiop\u00e1tica (HII)<\/strong><\/p>\n<ol style=\"list-style-type: upper-alpha;\">\n<li>Papiledema<\/li>\n<li>Examen neurol\u00f3gico normal (excepto la par\u00e1lisis del sexto nervio craneal)<\/li>\n<li>Neuroimagen: par\u00e9nquima cerebral normal (sin hidrocefalia, masa, lesi\u00f3n estructural o realce men\u00edngeo); trombosis venosa excluida en todos.<\/li>\n<li>Componentes normales del l\u00edquido cefalorraqu\u00eddeo (LCR)<\/li>\n<li>Presi\u00f3n de punci\u00f3n lumbar elevada \u226525 cm LCR<\/li>\n<\/ol>\n<p><strong>Hipertensi\u00f3n intracraneal idiop\u00e1tica sin papiledema (HIISP)<\/strong><br \/>\nPresencia de los criterios B \u2013 E para HII m\u00e1s:<\/p>\n<ul>\n<li>Par\u00e1lisis unilateral o bilateral del sexto nervio craneal.<\/li>\n<\/ul>\n<p>Sugerencia de posible HIISP si:<br \/>\nPresencia de los criterios B \u2013 E para IIH m\u00e1s:<\/p>\n<ul>\n<li>Se cumplen al menos tres de los siguientes criterios de neuroimagen:<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"list-style-type: circle;\">\n<li>Silla vac\u00eda<\/li>\n<li>Aplanamiento de la cara posterior del globo ocular.<\/li>\n<li>Distensi\u00f3n del espacio subaracnoideo peri\u00f3ptico con o sin un nervio \u00f3ptico tortuoso<\/li>\n<li>Estenosis del seno venoso transversal<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Cefalea atribuida a HII (ICHD-3b)<\/strong><\/p>\n<ol style=\"list-style-type: upper-alpha;\">\n<li>Cualquier cefalea que cumpla el criterio C<\/li>\n<li>HII que ha sido diagnosticada con presi\u00f3n de punci\u00f3n lumbar \u226525 cm LCR<\/li>\n<li>Evidencia de causalidad demostrada por al menos 2 de:\n<ol style=\"list-style-type: upper-alpha;\">\n<li>Cefalea desarrollada en relaci\u00f3n temporal con HII<\/li>\n<li>Cefalea aliviada al reducir la PIC<\/li>\n<li>Cefalea exacerbada en la relaci\u00f3n temporal con aumento de la PIC<\/li>\n<\/ol>\n<\/li>\n<li>Cefalea no explicada por otro diagn\u00f3stico de ICHD-3<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Mollan SP, Davies B, Silver NC, Shaw S, Mallucci CL, Wakerley BR, Krishnan A, Chavda SV, Ramalingam S, Edwards J, Hemmings K, Williamson M, Burdon MA, Hassan-Smith G, Digre K, Liu GT, Jensen RH, Sinclair AJ. Idiopathic intracranial hypertension: consensus guidelines on management.\u00a0J Neurol Neurosurg Psychiatry. 2018 Oct;89(10):1088-1100. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29903905\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Mollan SP, Hoffmann J, Sinclair AJ. Advances in the understanding of headache in idiopathic intracranial hypertension.\u00a0Curr Opin Neurol. 2019 Feb;32(1):92-98. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30547900\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Schartz D, Finkelstein A, Bender MT. A unifying disease model of idiopathic intracranial hypertension: A narrative review. Headache. 2025 Dec 31. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41472646\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Sep 23, 2019.<br \/>\nActualizado Ene 28, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La combinaci\u00f3n de presi\u00f3n intracraneal elevada, sin hidrocefalia o lesi\u00f3n masa tumoral, composici\u00f3n normal de l\u00edquido cefalorraqu\u00eddeo (LCR) y donde no se encuentra etiolog\u00eda subyacente son criterios aceptados para el diagn\u00f3stico de hipertensi\u00f3n intracraneal idiop\u00e1tica (HII).<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[2],"tags":[16,15,14,13,61,67,66,65,64,68,63,62],"class_list":["post-2115","post","type-post","status-publish","format-standard","hentry","category-neurology","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-hii","tag-hipertension","tag-hypertension","tag-idiopathic","tag-idiopatica","tag-iih","tag-intracraneal","tag-intracranial"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2115","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2115"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2115\/revisions"}],"predecessor-version":[{"id":10603,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2115\/revisions\/10603"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2115"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2115"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2115"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}