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  5. I have high brain pressure (IIH) and sarcoidosis, and despite taking Diamox (1250mg) and Topaz (50mg), I still have head heaviness and ear and head pain. Since my latest MRI shows signs of pressure buildup behind my eyes?including swollen fluid sleeves around my eye nerves, twisted nerves, and flattening at the back of my eyeballs?do I need to have surgery to insert a shunt to drain the excess fluid?

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I have high brain pressure (IIH) and sarcoidosis, and despite taking Diamox (1250mg) and Topaz (50mg), I still have head heaviness and ear and head pain. Since my latest MRI shows signs of pressure buildup behind my eyes?including swollen fluid sleeves around my eye nerves, twisted nerves, and flattening at the back of my eyeballs?do I need to have surgery to insert a shunt to drain the excess fluid?

Asked by Female, 27 · 9 days ago

Your MRI findings do show signs of increased pressure around your eyes, but needing a shunt is not an automatic next step. Surgery like a shunt is typically considered if your vision is actively threatened or if maximum doses of medications like acetazolamide (Diamox) and topiramate (Topaz) aren't managing your symptoms. It is very important to discuss these imaging results promptly with your neurologist and ophthalmologist. They will evaluate your vision and optic nerves to safely guide the best next steps for your care.
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I have high brain pressure (IIH) and sarcoidosis, and despite taking Diamox (1250mg) and Topaz (50mg), I still have head heaviness and ear and head pain. Since my latest MRI shows signs of pressure buildup behind my eyes?including swollen fluid sleeves around my eye nerves, twisted nerves, and flattening at the back of my eyeballs?do I need to have surgery to insert a shunt to drain the excess fluid?

Answered 9 days ago

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