Idiopathic Intracranial Hypertension in the Pediatric Population

Kesler, Anat; Fattal‐Valevski, Aviva

doi:10.1177/08830738020170101401

Cited by 151 publications

(121 citation statements)

References 20 publications

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“…In pubertal IIH, female predominance has been found. Association with obesity is also found in pubertal IIH (Wall M et al, 1991;Babikian P et al, 1994;Kesler A et al, 2002;Phillips PH et al 1998).…”

Section: Introductionmentioning

confidence: 93%

Idiopathic Intracranial Hypertension in a pubertal paediatric Indian patient

et al. 2017

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Background: Idiopathic Intracranial Hypertension (IIH) is characterised by raised intracranial pressure (ICP) with normal cerebrospinal fluid (CSF) composition and absence of hydrocephalus or space occupying lesions. IIH is a rare disease in children. It can lead to visual impairment but prompt diagnosis and treatment in most of the cases will prevent potentially permanent visual loss. Objective: To report a rare case of Idiopathic Intracranial Hypertension in a pubertal child, clinical features, and findings of Magnetic Resonance Imaging (MRI) and visual field of this case. Case: An adolescent girl aged 14 years presented with headache and transient visual obscuration for two weeks. On examination, findings (fundus, visual field and MRI) were suggestive of Idiopathic intracranial hypertension. She did not have any classical predisposing risk factors. She recovered very well with acetazolamide and short term steroid therapy with no sequelae and clinical recurrence over a follow up of 12 months. Conclusion: This is a rare case of IIH in a child, which was confirmed on the MRI and visual field testing.

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Section: Introductionmentioning

confidence: 93%

Idiopathic Intracranial Hypertension in a pubertal paediatric Indian patient

et al. 2017

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“…Bununla birlikte, bizim çalışmamızda yaş dağılımı ve kız/erkek oranı açısından İİH ve sekonder PTSS tanılı hastalar arasında fark saptanmadı. Çocukluk çağı İİH ve sekonder PTSS'nun obezite ile birlikteliği erişkin yaştakine göre daha düşük oranda bildirilmektedir (4,11,12). Bizim çalışmamızda obezite sıklığı sekonder PTSS tanılı çocuklarda %10, İİH tanılı çocuklarda %12,5 olarak bulundu.…”

Section: Introductionunclassified

Primary and Secondary Pseudotumor Cerebri Syndrome in Childhood: Symptoms and Imaging Findings

Bektaş¹,

Yıldız²,

Uzunhan³

et al. 2017

İstanbul Tıp Fakültesi Dergisi

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“…5 It has been suggested that CN VI palsy occurs more frequently in children with IH, but the reported incidence has ranged widely, from 9% to 59%. 4,[6][7][8][9][10][11][12] One study found cranial nerve palsies, including CN VI, to be more common in children aged 11 or younger. 7 The incidence of CN VI palsy in paediatric IH therefore remains variable and somewhat uncertain.…”

Section: Introductionmentioning

confidence: 99%

Sixth Nerve Palsy in Paediatric Intracranial Hypertension

Reid

Reem

Aylward

et al. 2016

Neuro-Ophthalmology

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The purpose of this study was to report the incidence and describe the characteristics of sixth cranial nerve (CN VI) palsy in paediatric patients with intracranial hypertension (IH). A retrospective chart review of central Ohio children diagnosed with IH over the 3-year period from 2010 to 2013 was conducted. IH without identifiable cause was defined as idiopathic intracranial hypertension (IIH), whereas IH with identifiable pathologic aetiology was deemed secondary intracranial hypertension (SIH). A subset of patients with CN VI palsy was identified. Data collected included patient age, gender, past medical history, aetiology of SIH, ophthalmic examination, lumbar puncture results, neuroimaging results, and response to treatment. Seventy-eight children with intracranial hypertension were included in the study. Nine (11.5%) children (four males, five females; median age 14, range: 3-18) were found to have a unilateral (n = 2) or bilateral (n = 7) CN VI palsy. Five children had IIH; the remaining four had SIH from cerebral venous sinus thrombosis (n = 2) and infection (n = 2). The mean lumbar puncture opening pressure for the nine patients with CN VI palsy was 40 cm H 2 O (range: 21-65 cm H 2 O). Papilloedema was present in 8/9 (89%) patients. One patient required a lumboperitoneal shunt, and two others required optic nerve sheath fenestrations in addition to medical management. All cases of CN VI palsy resolved with treatment. In our primary service area, the incidence of CN VI palsy is approximately 12% among paediatric IH patients. The majority of cases with CN VI palsy presented with papilloedema and all cases resolved with treatment of intracranial hypertension. ARTICLE HISTORY

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Idiopathic Intracranial Hypertension in the Pediatric Population

Cited by 151 publications

References 20 publications

Idiopathic Intracranial Hypertension in a pubertal paediatric Indian patient

Idiopathic Intracranial Hypertension in a pubertal paediatric Indian patient

Primary and Secondary Pseudotumor Cerebri Syndrome in Childhood: Symptoms and Imaging Findings

Sixth Nerve Palsy in Paediatric Intracranial Hypertension

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