Summary:
This retrospective study evaluates features, treatment, and outcome of idiopathic
intracranial hypertension (IIH) in children. Six children, 12 years
and younger, met the inclusion criteria. A set of six patients consisted of
five girls and one boy. Two girls and one boy were obese. The most common
presenting symptoms were headache and transient visual obscuration.
All the patients had fully developed bilateral papilledema, which resolved
with treatment. Visual field abnormalities were present in all the eyes,
and severe visual loss occurred in both eyes of one patient. Five patients
were managed medically with acetazolamid alone, and one with combination
of acetazolamide and corticosteroids. This girl with progressive severe
loss of vision also required optic nerve sheaths decompression surgery.
A resolution of papilledema occurred in all the eyes, and no permanent
decrease of visual functions was seen.
Key words:
idiopathic intracranial hypertension, children, treatment
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