Idiopathic intracranial hypertension in pediatric patients

Nada Jir&aacute;skov&aacute;, Pavel Rozs&iacute;valDepartment of Ophthalmology, University Hospital, Hradec Kr&aacute;lov&eacute;, Czech RepublicPurpose: To evaluate retrospectively the features, treatment, and outcome of idiopathic intracranial hypertension (...

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Autores principales:	Nada Jir&aacute;skov&aacute;, Pavel Rozs&iacute;val
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/0c4a5e18e32d4d4aaa9f123a0b71b627
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spelling	oai:doaj.org-article:0c4a5e18e32d4d4aaa9f123a0b71b6272021-12-02T04:52:39ZIdiopathic intracranial hypertension in pediatric patients1177-54671177-5483https://doaj.org/article/0c4a5e18e32d4d4aaa9f123a0b71b6272008-11-01T00:00:00Zhttp://www.dovepress.com/idiopathic-intracranial-hypertension-in-pediatric-patients-a2589https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Nada Jir&aacute;skov&aacute;, Pavel Rozs&iacute;valDepartment of Ophthalmology, University Hospital, Hradec Kr&aacute;lov&eacute;, Czech RepublicPurpose: To evaluate retrospectively the features, treatment, and outcome of idiopathic intracranial hypertension (IIH) in children.Methods: Nine patients, 15 years and younger, diagnosed with IIH. Inclusion criteria were papilledema, normal brain computer tomography or magnetic resonance imaging, cerebrospinal fluid pressure greater than 250 mm H2O, normal cerebrospinal fluid content, and a nonfocal neurologic examination except for sixth nerve palsy.Results: Of the nine patients, eight were girls. Five girls were overweight and one boy was obese. The most common presenting symptom was headache (5 patients). Diplopia or strabismus did not occur in our group. Visual field abnormalities were present in all eyes, and severe visual loss resulting in light perception vision occurred in both eyes of one patient. Eight patients were treated medically with acetazolamide alone, and one girl needed a combination of acetazolamide and corticosteroids. This girl also required optic nerve sheath decompression surgery. Resolution of papilledema and recovery of visual function occurred in all patients.Conclusions: Idiopathic intracranial hypertension in prepubertal children is rather uncommon. Prompt diagnosis and management are important to prevent permanent visual loss.Keywords: idiopathic intracranial hypertension, pediatric, treatment Nada Jir&aacute;skov&aacute;Pavel Rozs&iacute;valDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2008, Iss Issue 4, Pp 723-726 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Nada Jir&aacute;skov&aacute; Pavel Rozs&iacute;val Idiopathic intracranial hypertension in pediatric patients
description	Nada Jir&aacute;skov&aacute;, Pavel Rozs&iacute;valDepartment of Ophthalmology, University Hospital, Hradec Kr&aacute;lov&eacute;, Czech RepublicPurpose: To evaluate retrospectively the features, treatment, and outcome of idiopathic intracranial hypertension (IIH) in children.Methods: Nine patients, 15 years and younger, diagnosed with IIH. Inclusion criteria were papilledema, normal brain computer tomography or magnetic resonance imaging, cerebrospinal fluid pressure greater than 250 mm H2O, normal cerebrospinal fluid content, and a nonfocal neurologic examination except for sixth nerve palsy.Results: Of the nine patients, eight were girls. Five girls were overweight and one boy was obese. The most common presenting symptom was headache (5 patients). Diplopia or strabismus did not occur in our group. Visual field abnormalities were present in all eyes, and severe visual loss resulting in light perception vision occurred in both eyes of one patient. Eight patients were treated medically with acetazolamide alone, and one girl needed a combination of acetazolamide and corticosteroids. This girl also required optic nerve sheath decompression surgery. Resolution of papilledema and recovery of visual function occurred in all patients.Conclusions: Idiopathic intracranial hypertension in prepubertal children is rather uncommon. Prompt diagnosis and management are important to prevent permanent visual loss.Keywords: idiopathic intracranial hypertension, pediatric, treatment
format	article
author	Nada Jir&aacute;skov&aacute; Pavel Rozs&iacute;val
author_facet	Nada Jir&aacute;skov&aacute; Pavel Rozs&iacute;val
author_sort	Nada Jir&aacute;skov&aacute;
title	Idiopathic intracranial hypertension in pediatric patients
title_short	Idiopathic intracranial hypertension in pediatric patients
title_full	Idiopathic intracranial hypertension in pediatric patients
title_fullStr	Idiopathic intracranial hypertension in pediatric patients
title_full_unstemmed	Idiopathic intracranial hypertension in pediatric patients
title_sort	idiopathic intracranial hypertension in pediatric patients
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/0c4a5e18e32d4d4aaa9f123a0b71b627
work_keys_str_mv	AT nadajirampaacuteskovampaacute idiopathicintracranialhypertensioninpediatricpatients AT pavelrozsampiacuteval idiopathicintracranialhypertensioninpediatricpatients
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Idiopathic intracranial hypertension in pediatric patients

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