{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T22:01:31Z","timestamp":1780437691979,"version":"3.54.1"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Neurol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Idiopathic intracranial hypertension (IIH) classically presents with headache, papilledema, and visual disturbances. Psychiatric manifestations are rare and may obscure a timely diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 23-year-old obese female with no prior psychiatric history presented with new-onset intrusive thoughts and compulsive finger-tapping rituals, leading to a diagnosis of obsessive\u2013compulsive disorder (OCD). Despite treatment with high-dose SSRIs, antipsychotic augmentation, and cognitive-behavioural therapy for six months, she showed no improvement. She concurrently reported\u00a0a\u00a0refractory bitemporal headache, tinnitus, and transient visual\u00a0obscurations. Examination revealed bilateral papilledema. MRI\/MRV showed features of raised intracranial pressure (ICP)\u00a0associated\u00a0with right transverse sinus stenosis. Lumbar puncture (LP) confirmed\u00a0an\u00a0elevated opening pressure of 30\u00a0cm H\u2082O. Despite treatment with acetazolamide (2\u00a0g\/day), she remained symptomatic. Venous sinus stenting was subsequently performed, restoing sinus\u00a0caliber\u00a0and reducing the pressure gradient. Within three months, her headache improved markedly, and her papilledema resolved. Remarkably, her obsessive thoughts and compulsive acts completely disappeared without psychiatric medication, with her\u00a0Yale-Brown\u00a0Obsessive\u2013Compulsive Scale (Y-BOCS) score dropping from 20 to 5.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case illustrates IIH presenting with predominant psychiatric manifestations mimicking primary OCD. The\u00a0dramatic\u00a0resolution of compulsive symptoms following intracranial pressure normalization suggests a possible association between IIH and obsessive thoughts. Clinicians should maintain a high index of suspicion for IIH in atypical psychiatric presentations accompanied by headache, tinnitus, or visual symptoms; in such cases, routine fundoscopy is essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12883-026-04895-5","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T05:43:50Z","timestamp":1780292630000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Idiopathic intracranial hypertension presenting with obsessive thoughts: a rare neuropsychiatric manifestation \u201ccase report\u201d"],"prefix":"10.1186","volume":"26","author":[{"given":"Mennatallah Mohamed","family":"Rehab","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amr S.","family":"Zaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Gamal","family":"Farwiez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramez Reda","family":"Moustafa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"issue":"3","key":"4895_CR1","first-page":"226","volume":"1","author":"W Goodman","year":"1991","unstructured":"Goodman W, Rasmussen S, Price L, Mazure L, Heninger G, Charney D. Yale-brown obsessive compulsive scale (Y-BOCS). Verhaltenstherapie. 1991;1(3):226\u201333.","journal-title":"Verhaltenstherapie"},{"issue":"6","key":"4895_CR2","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1037\/h0057760","volume":"18","author":"E Kendall","year":"1954","unstructured":"Kendall E. The validity of Taylor\u2019s manifest anxiety scale. J Consult Psychol. 1954;18(6):429.","journal-title":"J Consult Psychol"},{"key":"4895_CR3","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1111\/head.14465","volume":"63","author":"SP Mollan","year":"2023","unstructured":"Mollan SP, Subramanian A, Perrins M, et al. Depression and anxiety in women with idiopathic intracranial hypertension compared to migraine: A matched controlled cohort study. Headache. 2023;63:290\u20138.","journal-title":"Headache"},{"key":"4895_CR4","doi-asserted-by":"publisher","first-page":"120120","DOI":"10.1016\/j.jns.2021.120120","volume":"434","author":"L Donaldson","year":"2021","unstructured":"Donaldson L, Dezard V, Chen M, Margolin E. Depression and generalized anxiety symptoms in idiopathic intracranial hypertension: prevalence, under-reporting and effect on visual outcome. J Neurol Sci. 2021;434:120120.","journal-title":"J Neurol Sci"},{"issue":"2","key":"4895_CR5","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1002\/acn3.685","volume":"6","author":"A Sarica","year":"2019","unstructured":"Sarica A, Curcio M, Rapisarda L, Cerasa A, Quattrone A, Bono F. Periventricular white matter changes in idiopathic intracranial hypertension. Ann Clin Transl Neurol. 2019;6(2):233\u201342.","journal-title":"Ann Clin Transl Neurol"},{"issue":"1","key":"4895_CR6","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1016\/j.tics.2011.11.003","volume":"16","author":"MR Milad","year":"2012","unstructured":"Milad MR, Rauch SL. Obsessive-compulsive disorder: beyond segregated cortico-striatal pathways. Trends Cogn Sci. 2012;16(1):43\u201351.","journal-title":"Trends Cogn Sci"},{"issue":"10","key":"4895_CR7","doi-asserted-by":"publisher","first-page":"1088","DOI":"10.1136\/jnnp-2017-317440","volume":"89","author":"SP Mollan","year":"2018","unstructured":"Mollan SP, Davies B, Silver NC, Shaw S, Mallucci CL, Wakerley BR, et al. Idiopathic intracranial hypertension: consensus guidelines on management. J Neurol Neurosurg Psychiatry. 2018;89(10):1088\u2013100.","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"2","key":"4895_CR8","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1097\/WNO.0000000000000426","volume":"37","author":"MJ Dinkin","year":"2017","unstructured":"Dinkin MJ, Patsalides A. Venous sinus stenting in idiopathic intracranial hypertension: results of a prospective trial. J Neuroophthalmol. 2017;37(2):113\u201321.","journal-title":"J Neuroophthalmol"},{"issue":"8","key":"4895_CR9","doi-asserted-by":"publisher","first-page":"1524","DOI":"10.1177\/0271678X221086408","volume":"42","author":"Y Zhang","year":"2022","unstructured":"Zhang Y, Ma C, Li C, Li X, Liu R, Liu M, et al. Prediction of the trans stenotic pressure gradient with arteriography-derived hemodynamic features in patients with idiopathic intracranial hypertension. J Cereb Blood Flow Metab. 2022;42(8):1524\u201333.","journal-title":"J Cereb Blood Flow Metab"}],"container-title":["BMC Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12883-026-04895-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12883-026-04895-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12883-026-04895-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T21:03:29Z","timestamp":1780434209000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12883-026-04895-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,1]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4895"],"URL":"https:\/\/doi.org\/10.1186\/s12883-026-04895-5","relation":{},"ISSN":["1471-2377"],"issn-type":[{"value":"1471-2377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,1]]},"assertion":[{"value":"1 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from the patient for participation in this case report.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for the publication of this case report and any accompanying images. The patient was assessed by both the treating neurologist and psychiatrist and was deemed to have full decision-making capacity at the time of consent. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"360"}}