Pediatric Idiopathic Intracranial Hypertension: A Case Report.
Background: Idiopathic intracranial hypertension (IIH) presents differently in prepubertal children as compared to postpubertal children and adults. In adults, IIH is most common in obese women of child-bearing age. However, when occurring in prepubertal children, IIH has been shown to have no predi...
| Publicado en: | Optometry & Visual Performance Vol. 3; no. 5; pp. 227 - 233 |
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| Autores principales: | , , |
| Formato: | case study diagnostic images tables/charts Journal Article |
| Publicado: |
Optometric Extension Program
Aug2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109006490&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109006490 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23253479 HOOW jtl: Optometry & Visual Performance issn: 23253479 maglogo: N pubinfo: dt: Aug2015 vid: 3 iid: 5 pid: 46881 pub: Optometric Extension Program place: Lutherville Timonium, Maryland artinfo: ui: 109006490 109006490 109006490 109006490 ppf: 227 ppct: 6 formats: tig: atl: Pediatric Idiopathic Intracranial Hypertension: A Case Report. aug: au: Nandwani, Divya Vricella, Marilyn Richter, Scott affil: State University of New York College of Optometry, New York, New York sug: subj: Puberty Intracranial Hypertension Intracranial Pressure Optic Nerve Strabismus Surgery Adult Children Child Female Adult Child: 6-12 years Adult: 19-44 years Female ab: Background: Idiopathic intracranial hypertension (IIH) presents differently in prepubertal children as compared to postpubertal children and adults. In adults, IIH is most common in obese women of child-bearing age. However, when occurring in prepubertal children, IIH has been shown to have no predilection for gender and does not correlate with obesity. This case report exemplifies the rare occurrence of IIH in a pediatric patient. Case Report: A five-year-old Hispanic female patient was seen at the University Eye Center for a longstanding hypotropia secondary to a likely congenital fourth nerve palsy with an exotropia component. After a strabismus surgery and a series of follow-up visits, bilateral swollen optic nerves were observed, and a prompt referral to the emergency room was made. Consequently, she was diagnosed with IIH. A treatment regimen of acetazolamide was initiated with subsequent improvement of the clinical presentation of increased intracranial pressure, confirmed by the reduction of swelling of her optic nerves. Conclusions: Bilateral swelling of the optic nerves can be an emergency, especially in children. It is important urgently to rule out causes for increased intracranial pressure. If treatment is significantly delayed, or if no treatment is given to a patient with this condition, loss of visual function may occur. In addition to reporting a rare circumstance of pediatric idiopathic intracranial hypertension, this case report serves to remind eye care practitioners of the importance of monitoring the ocular health of patients closely, even in young, healthy children. pubtype: Academic Journal doctype: case study diagnostic images tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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