New developments in idiopathic intracranial hypertension

Shin, Robert K.; Balcer, Laura J.

doi:10.1007/s11910-001-0108-5

Cited by 7 publications

(1 citation statement)

References 49 publications

(33 reference statements)

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“…Neurological examination is normal with the exception of unilateral or bilateral sixth nerve palsies, which occur in 9-48% of children (Wolf A et al, 2008;Rangwala LM et al, 2007 (Spennato P et al, 2011;Standridge SM, 2010) In children suspected of IIH, cranial imaging should be performed prior to LP to exclude a space occupying lesion in the brain. MRI is superior to computed tomography and the findings include tortuosity of the optic nerve, distension of perioptic subarachnoid space, posterior flattening of the globe or empty sella (Shin RK et al, 2001). CSF opening pressure of 25 mm Hg in children of 8 years or older, and opening pressure of 20 mm Hg in those younger than 8 years is diagnostic (Spennato P et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

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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