Abstract Background: Idiopathic Intracranial Hypertension (IIH) is seen typically in obese women in their child-bearing age, management of patients with IIH can be problematic. Aim of Study: The purpose of this study is to assess single spinal tapping using wide pore Tuohy needle as a modality for treatment of IIH. Objective: The purpose of this study is to assess single Tuohy needle spinal tapping as a modality for treatment of IIH. Patients and Methods: This was a prospective case series of twenty women with IIH who underwent full neurological and ophthalmological evaluation including fluoruscopic fundus examination and neuroimaging studies. They were followed-up and treated using only single Tuohy needle spinal tapping. Results: Single spinal tapping can control IIH safely with a success rate of 100%. Conclusion: Single spinal tapping using Tuohy needle is recommended as a treatment modality in women with IIH.