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Idiopathic intracranial hypertension in children: clinical presentations and management.

Aboul Enein HA, Abo Khair AF - Middle East Afr J Ophthalmol (2008)

Bottom Line: Idiopathic intracranial is common in adults, particularly obese young women, but also occurs in children and adolescents.This study is a prospective study conducted in the Alexandria Medical School, Egypt, between the periods starting from January 2003 till December 2007.If diagnosed early, visual acuity can be saved with proper management.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Faculty of Medicine, Alexandria Medical School, Egypt.

ABSTRACT

Background: Idiopathic intracranial is common in adults, particularly obese young women, but also occurs in children and adolescents.

Aim: Clinical presentation of idiopathic intracranial hypertension in the pediatric population and how the presenting signs and symptoms may be different from those seen among adult patients.

Results: This study is a prospective study conducted in the Alexandria Medical School, Egypt, between the periods starting from January 2003 till December 2007. Ten patients were included in this study, 9 patients were treated with repeated spinal taps while only one patient necessitated insertion of a theco-peritoneal shunt.

Conclusion: Idiopathic intracranial hypertension may occur in children as among adults. If diagnosed early, visual acuity can be saved with proper management.

No MeSH data available.


Related in: MedlinePlus

Fundus photography of 14-year-old female with IIH showing severe papilledema.
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Figure 0003: Fundus photography of 14-year-old female with IIH showing severe papilledema.

Mentions: Of the 10 patients included in the present study, six were girls while only four were boys. Seven patients were in between the age of 9 to 12 years “pre-puberty age” (Table 2). The most common presenting symptoms found in this study was headache (all patients) while diplopia and unilateral abducent palsy was only found in six patients, bilateral abducent palsy was found in four patienst. Field abnormalities were detected in two patients where the blind spot was enlarged in one patient and temporal field defects in the other (Table 3). Severe visual loss resulting in chronic disc atrophy that led to post papilledemic optic atrophy was found in one eye of one patient (Fig 3). Nine patients were treated adequately medically. Only one patient who suffered severe visual problems which did not respond to neither to conservative treatment nor to repeated lumbar taps required insertion of a lumboperitoneal shunt (Table 4).


Idiopathic intracranial hypertension in children: clinical presentations and management.

Aboul Enein HA, Abo Khair AF - Middle East Afr J Ophthalmol (2008)

Fundus photography of 14-year-old female with IIH showing severe papilledema.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3040914&req=5

Figure 0003: Fundus photography of 14-year-old female with IIH showing severe papilledema.
Mentions: Of the 10 patients included in the present study, six were girls while only four were boys. Seven patients were in between the age of 9 to 12 years “pre-puberty age” (Table 2). The most common presenting symptoms found in this study was headache (all patients) while diplopia and unilateral abducent palsy was only found in six patients, bilateral abducent palsy was found in four patienst. Field abnormalities were detected in two patients where the blind spot was enlarged in one patient and temporal field defects in the other (Table 3). Severe visual loss resulting in chronic disc atrophy that led to post papilledemic optic atrophy was found in one eye of one patient (Fig 3). Nine patients were treated adequately medically. Only one patient who suffered severe visual problems which did not respond to neither to conservative treatment nor to repeated lumbar taps required insertion of a lumboperitoneal shunt (Table 4).

Bottom Line: Idiopathic intracranial is common in adults, particularly obese young women, but also occurs in children and adolescents.This study is a prospective study conducted in the Alexandria Medical School, Egypt, between the periods starting from January 2003 till December 2007.If diagnosed early, visual acuity can be saved with proper management.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Faculty of Medicine, Alexandria Medical School, Egypt.

ABSTRACT

Background: Idiopathic intracranial is common in adults, particularly obese young women, but also occurs in children and adolescents.

Aim: Clinical presentation of idiopathic intracranial hypertension in the pediatric population and how the presenting signs and symptoms may be different from those seen among adult patients.

Results: This study is a prospective study conducted in the Alexandria Medical School, Egypt, between the periods starting from January 2003 till December 2007. Ten patients were included in this study, 9 patients were treated with repeated spinal taps while only one patient necessitated insertion of a theco-peritoneal shunt.

Conclusion: Idiopathic intracranial hypertension may occur in children as among adults. If diagnosed early, visual acuity can be saved with proper management.

No MeSH data available.


Related in: MedlinePlus