Fulminant idiopathic intracranial hypertension in a pediatric patient following a minor head trauma

Abstract

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Idiopathic intracranial hypertension associated with mild traumatic brain injury in a pediatric patient – Case report

“…In children, the association with systemic diseases and medications is more frequent than in adults. 4 Tetracycline, vitamin A and corticosteroids withdrawal are medication often associated with IIH. 11 Among systemic diseases are associated as systemic lupus erythematosus, uraemia and hypothyroidism.…”

“…13 The mild head trauma previously described in association with IIH, but in most cases further tests showed sinus venous thrombosis or cerebral edema. 4 The CT scan is important for the noninvasive diagnosis to exclude tumor, edema and ventricular dilatation, although their signs are inconsistent and require a more reavaluation. 13 Magnetic resonance imaging (MRI) has greater sensitivity in detecting isodense tumors, meningeal infiltrations, pathologies of the posterior fossa and other subtle intracranial abnormalities 10 and a set of signals, such as enhancement and protrusion of the prelaminar optic nerve, vertical tortuosity of the orbital optic nerve, distention of the perioptic subarachnoid space and flattening of the posterior sclera, allowing the assistance of the diagnosis of cranial hypertension.…”

“…3 The evolution of IIH children is variable, symptoms may appear within hours or evolve progressively and insidious. 4 Headache, diplopia, nausea and vomiting are classic symptoms, but in young children other symptoms are described as photophobia, anorexia and myalgia. 5 The sixth cranial nerve palsy, recently described as one of the signs of IIH is more common in children than in adults.…”