Hypoparathyroidism Should Always Be Checked in Papilledema

Gradišnik, Peter

doi:10.4103/jnrp.jnrp_463_16

Cited by 8 publications

(6 citation statements)

References 3 publications

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“…In the present study, one case of hypoparathyroidismretardation-dysmorphism syndrome, also known as Middle east syndrome or Sanjad-Sakati syndrome )OMIM # 241410(, had IH possibly resulting from the associated hypoparathyroidism, a recognized risk factor of IH. 14 The most common clinical presentation in children is headache. 11,15,16 Other clinical features include nausea and vomiting, blurred vision, and double vision.…”

Section: Results a Total Of 53 Children With Ih Werementioning

confidence: 99%

Pediatric intracranial hypertension

Bashiri

Abdulsalam

Hassan

et al. 2019

NSJ

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Objectives: To review the experience of 2 tertiary centers in Saudi Arabia with intracranial hypertension)IH(in the pediatric population. Methods: We retrospectively reviewed and analyzed pediatric patients diagnosed with IH from June 2002 to May 2017 in 2 institutes. Original Articles Results: We identified 53 patients)30 females and 23 males(with a mean age of 7 years at the time of presentation. Among them, 41 patients were younger than 12 years, and 12 were older. Obese and overweight patients constituted 27.00%)n = 14(of all cases, 8)66.7%(of whom were older than 12 years. The most common presenting feature was papilledema followed by headache. Vitamin D deficiency, which constituted the most common associated condition, was identified in 12)22.6%(patients. Acetazolamide was the treatment option in 98.11% of patients, and only 5.7% underwent surgical interventions. The length of follow-up ranged from 6 months to 8 years. Conclusion: Intracranial hypertension is rare in children and commonly seen in overweight females older than 12 years similar to adults. Patients younger than 12 years tend to develop secondary IH. More studies are needed to characterize the clinical presentation and guide the management plan.

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Section: Results a Total Of 53 Children With Ih Werementioning

confidence: 99%

Pediatric intracranial hypertension

Bashiri

Abdulsalam

Hassan

et al. 2019

NSJ

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“…This, in turn, with papilledema on the examination, was a clue that the patient may have idiopathic intracranial hypertension (IIH) secondary to her severe hypocalcemia and hypoparathyroidism. The association between hypoparathyroidism and IIH is anecdotal yet frequently reported and is thought to be secondary to the calcium-dependent function of the arachnoid villi to absorb CSF [ 8 - 14 ]. Adding hypoparathyroidism to the picture led us to investigate the possibility of Barakat syndrome.…”

Section: Discussionmentioning

confidence: 99%

Primary Hypoparathyroidism Presenting as Idiopathic Intracranial Hypertension in a Patient With Barakat Syndrome

Alkaissi¹,

Banerji²

2022

Cureus

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Unlike hyperparathyroidism, hypoparathyroidism is rarely encountered in clinical practice. Usually, it results from surgical resection, an autoimmune phenomenon, or an infiltrative process. Under certain circumstances, one may encounter a genetic etiology of hypoparathyroidism, often combined with myriad other syndromic manifestations. We report a case of a young female with congenital deafness and subacute visual loss. Hypocalcemia and primary hypoparathyroidism were subsequently discovered, and the cause of the vision loss was diagnosed as idiopathic intracranial hypertension, likely secondary to severe primary hypoparathyroidism. The patient was also found to have small bilateral kidneys, with tubular loss of magnesium and calcium, yet with a normal glomerular filtration rate. The constellation of congenital deafness, hypoparathyroidism, and renal dysfunction suggests Barakat syndrome, one of the less common causes of syndromic primary hypoparathyroidism.

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“…Hypoparathyroidism should always be ruled out in these patients [3]. The differential diagnosis includes conditions causing pseudopapilledema like optic disc drusen and hypermetropic disc.…”

Section: Discussionmentioning

confidence: 99%

“…Assistant Professor, Department of Ophthalmology, Shri Lal Bahadur Shastri Government Medical College and Hospital, Himachal Pradesh, India2 Assistant Professor, Department of Medicine, Shri Lal Bahadur Shastri Government Medical College and Hospital, Himachal Pradesh, India3 Associate Professor, Department of Ophthalmology, Shri Lal Bahadur Shastri Government Medical College and Hospital, Himachal Pradesh, India…”

mentioning

confidence: 99%