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To characterize the clinical features of idiopathic intracranial hypertension (IIH) in patients 50 years of age compared to the typical IIH population and existing data for this older cohort. Retrospective, clinical cohort study. Medical records of 65 patients 50 years of age at first diagnosis of IIH were reviewed based on the Modified Dandy Criteria from 4 academic centers. Each center provided randomly selected controls from IIH patients 50 years of age for each study patient at their location. Data recorded included patient