Idiopathic Intracranial Hypertension in Pediatrics; Clinical Characteristics and Management Options
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- Category: Vol. 80, March 2012
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Idiopathic Intracranial Hypertension in Pediatrics; Clinical Characteristics and Management Options,KHALED E. MOHAMED
Abstract
Background: Idiopathic intracranial hypertension is a well known entity in adults. It is rare in children, with clinical characteristics that may mimic or not that of adults.
Objective: Is to highlight the clinical characteristics and surgical view of idiopathic intracranial hypertension in pedi-atrics.
Patients and Methods: This is a retrospective study of the children below 18 years old admitted at the department for management of increased intracranial pressure matched with the modified Dandy Criteria. Review of the clinical presentations, imaging studies, opening pressure, and man-agement options was done.
Results: There were 10 patients, 6 males, and 4 females. Age ranged from 9 years to 17 years, papilledema was a feature of all, opening pressure ranged from 28.5cm to 60cm. There were 6 patients obese and 4 patients were normal. Five patients responded to medical treatment and frequent lumbar punctures, and five patients required surgical intervention in the form of lumbo-peritoneal shunt. One patient of the five operated required revision of the shunt.
Conclusion: Idiopathic intracranial hypertension in pedi-atrics is an important entity in the differential diagnosis of papilledema, and is different in some clinical features from the adults’. Surgical intervention is reserved for non-responding patients with rapid deterioration of vision.