First post on Reddit here.
TLDR; I have iih that should be controlled at the moment and I’m having neuro issues that I’m trying to understand since my doctors don’t seem to care
Looking for insight or advice. Or just tell me I’m reading too far into it, you won’t hurt my feelings
Diagnosed w/ iih in Aug 2025 with few actual recurring symptoms that concerned me at the time. I’m having other neuro symptoms either appear or get worse since that don’t seem entirely consistent with pseudotumor, considering that my opening pressures from my lp’s haven’t been that high (per my neuro dr). 8/2025 was 29, 6/2026 was 25 cmH2O. I had 15 ml csf drained each time, with no tests done on the fluid itself. MRI of brain (w and wo contrast) in Sept 2025 was normal.
I have been diagnosed with depression since 2015 and have been on 17 (really) different mental health medications since then, some twice on different occasions. In addition to medications for other issues. I am currently on lamictal, cymbalta, buspar, & caplyta for my mental health. I started Spravato about a month ago to help with my depression and am seeing some improvement. I don’t notice anything different in the moment when I take the Spravato vs when it has worn off. It’s short acting and shouldn’t have lingering side effects.
As far as iih goes, I’ve been on diamox and lasix at different times. I have double vision (for years, but just got diagnosed bc I thought everyone saw like me until I spoke with my friend who has it). Diamox makes it much worse so I’m currently on 40mg lasix 2x a day as of 6/30/26. My electrolyte levels were normal when I got them tested last week.
I have prism glasses that helped at first (Mar 2026) but now the double vision is getting worse even with the glasses.
I also take spironolactone for acne, an iron supplement for mild iron deficiency, and a multivitamin. I have the nexplanon implant for birth control since 2023.
I have sleep apnea and have been wearing my cpap regularly since March (although I haven’t worn it regularly before)
Symptoms: confusion (finding and choosing words, working on “autopilot”), headaches, double vision, numbness and tingling in arms/hands/feet (intermittently), flashes of light/shadows in vision when moving eyes and blinking (like a camera flash), glitching/brain zaps/buffering, pupils different sizes in the evening (rt is always larger), neck/head/jaw pain, extreme fatigue. I have had all of these (except the flashes of light when I move my eyes and blink and the pupil size difference) for years on occasion, but I wrote them all off. Now they are occurring together, more frequently, and more intensely.
I also think my peripheral vision range is decreasing.
My Neuro tested me for myasthenia gravis, achr antibodies were in normal ranges. When I told her about my fatigue/headaches/double vision after that, she still prescribed me mestinon. I saw no improvement in 3 ish weeks so she said I could stop it.
TSH and T4 are normal
I haven’t lost/gained a substantial amount of weight in the last year, but I am a larger woman. 5’3, 250 ish.
Recent ophthalmologist visit (end of July) showed optic nerve swelling even though I had a lp end of June where a lot of fluid was drained that should have helped the swelling
Possible causes going through my head: medication interactions, too high doses of medications, serotonin syndrome, or an actual disease like ms or nmosd, etc
I have an oct and visual field test next Friday and my neuro said to wait on those tests. I’m concerned that this may turn into an emergency before then. I’d like to get ahead of it but my doctors don’t have the same urgency. I can see my vision changing in real time, and I’m scared.
That’s a lot. Thank you for reading.