Idiopathic intracranial hypertension. Case report and literature review
We report a clinical case of 11 year old patient presenting with dizziness, diplopia, and blurred vision. The patient did not have headache. Ophthalmologic examination revealed papilledema in both eyes, lumbar puncture showed an increased intracranial pressure, magnetic resonance imaging and angiog...
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Vilnius University Press
2020-09-01
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| Series: | Neurologijos seminarai |
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| Online Access: | https://www.journals.vu.lt/neurologijos_seminarai/article/view/27733 |
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| author | L. Lauruvėnaitė R. Raugalas J. Grikinienė |
| author_facet | L. Lauruvėnaitė R. Raugalas J. Grikinienė |
| author_sort | L. Lauruvėnaitė |
| collection | DOAJ |
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We report a clinical case of 11 year old patient presenting with dizziness, diplopia, and blurred vision. The patient did not have headache. Ophthalmologic examination revealed papilledema in both eyes, lumbar puncture showed an increased intracranial pressure, magnetic resonance imaging and angiography identified no structural cerebral lesions, only optic disc bulging in both eyes. The patient had one risk factor – overweight; puberty had not yet begun. She was administered dehydrating medical therapy of acetazolamide and mannitol. With pharmacological treatment not being effective enough, ventriculoperitoneal shunting operation was performed, after which symptoms of intracranial hypertension disappeared. After one year of follow-up, the patient reported no symptoms of intracranial hypertension, she did not experience any complications with the shunt; however, thinning of retinal nerve fiber layer and optic nerve atrophy was found in both eyes and a severe decline of visual function in one eye.
Idiopathic intracranial hypertension is rare among children and can have a less distinct clinical presentation. Therefore, it is necessary to have this in mind even when the patient is presenting with less specific intracranial hypertension symptoms. In the case of declining visual function, urgent surgical treatment is required to preserve vision. Ventriculoperitoneal shunting is effective in managing symptoms of intracranial hypertension, however, in some cases visual function keeps declining.
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| format | Article |
| id | doaj-art-66fd434a39e64b69a6d050d0324d1ec2 |
| institution | Kabale University |
| issn | 1392-3064 2424-5917 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Neurologijos seminarai |
| spelling | doaj-art-66fd434a39e64b69a6d050d0324d1ec22025-01-20T18:22:38ZengVilnius University PressNeurologijos seminarai1392-30642424-59172020-09-01243(85)10.29014/ns.2020.33Idiopathic intracranial hypertension. Case report and literature reviewL. Lauruvėnaitė 0R. Raugalas 1J. Grikinienė 2Vilnius University, LithuaniaVilnius University, LithuaniaVilnius University, Lithuania We report a clinical case of 11 year old patient presenting with dizziness, diplopia, and blurred vision. The patient did not have headache. Ophthalmologic examination revealed papilledema in both eyes, lumbar puncture showed an increased intracranial pressure, magnetic resonance imaging and angiography identified no structural cerebral lesions, only optic disc bulging in both eyes. The patient had one risk factor – overweight; puberty had not yet begun. She was administered dehydrating medical therapy of acetazolamide and mannitol. With pharmacological treatment not being effective enough, ventriculoperitoneal shunting operation was performed, after which symptoms of intracranial hypertension disappeared. After one year of follow-up, the patient reported no symptoms of intracranial hypertension, she did not experience any complications with the shunt; however, thinning of retinal nerve fiber layer and optic nerve atrophy was found in both eyes and a severe decline of visual function in one eye. Idiopathic intracranial hypertension is rare among children and can have a less distinct clinical presentation. Therefore, it is necessary to have this in mind even when the patient is presenting with less specific intracranial hypertension symptoms. In the case of declining visual function, urgent surgical treatment is required to preserve vision. Ventriculoperitoneal shunting is effective in managing symptoms of intracranial hypertension, however, in some cases visual function keeps declining. https://www.journals.vu.lt/neurologijos_seminarai/article/view/27733pediatric idiopathic intracranial hypertensionpapilledemaventriculoperitoneal shuntingclinical case |
| spellingShingle | L. Lauruvėnaitė R. Raugalas J. Grikinienė Idiopathic intracranial hypertension. Case report and literature review Neurologijos seminarai pediatric idiopathic intracranial hypertension papilledema ventriculoperitoneal shunting clinical case |
| title | Idiopathic intracranial hypertension. Case report and literature review |
| title_full | Idiopathic intracranial hypertension. Case report and literature review |
| title_fullStr | Idiopathic intracranial hypertension. Case report and literature review |
| title_full_unstemmed | Idiopathic intracranial hypertension. Case report and literature review |
| title_short | Idiopathic intracranial hypertension. Case report and literature review |
| title_sort | idiopathic intracranial hypertension case report and literature review |
| topic | pediatric idiopathic intracranial hypertension papilledema ventriculoperitoneal shunting clinical case |
| url | https://www.journals.vu.lt/neurologijos_seminarai/article/view/27733 |
| work_keys_str_mv | AT llauruvenaite idiopathicintracranialhypertensioncasereportandliteraturereview AT rraugalas idiopathicintracranialhypertensioncasereportandliteraturereview AT jgrikiniene idiopathicintracranialhypertensioncasereportandliteraturereview |