Infantile Idiopathic Intracranial Hypertension: Case Report of an 8-Month-Old Child

被引:0
作者
Yasar, Deniz [1 ]
Inan, Cihan [2 ]
Akkaya, Bilge [2 ]
Ceylan, Nesrin [3 ]
Ucan, Berna [4 ]
Tuygun, Nilden [2 ]
机构
[1] Ankara Etlik City Hosp, Dept Pediat, Varlik Mahallesi,Halil Sezai Erkut Caddesi Yenimah, TR-06170 Ankara, Turkiye
[2] Ankara Etlik City Hosp, Dept Pediat Emergency, Ankara, Turkiye
[3] Ankara Bilkent City Hosp, Dept Pediat Neurol, Ankara, Turkiye
[4] Ankara Etlik City Hosp, Dept Radiol, Ankara, Turkiye
关键词
infantile intracranial hypertension; pseudotumor cerebri; acetazolamide; BULGING FONTANELLE; FEATURES; FEVER;
D O I
10.1055/s-0044-1788733
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Idiopathic intracranial hypertension (IIH), a clinical disorder also known as pseudotumor cerebri, is characterized by increased intracranial pressure of unknown causes. Although it is most commonly observed in young obese women, IIH can also occur in the pediatric population; however, it is extremely rare in infants. Infants do not typically exhibit characteristic signs and symptoms of IIH, making it challenging to diagnose. Additionally, treatment modalities for this disease remain uncertain. We report an 8-month-old female child admitted to the pediatric emergency department with IIH. Our patient presented initially with fever, vomiting, and diarrhea, and then she developed inability to abduct the left eye. Papilledema was not detected in our patient. Magnetic resonance imaging and lumbar puncture contributed to diagnosis of the patient. Dexamethasone (0.5 mg/kg/d, twice a day) and acetazolamide (5 mg/kg/d) were administered; dexamethasone was stopped at the 48th hour after esotropia had resolved. The patient developed left ptosis in the first month after discharge. Acetazolamide was administered for a duration of 5 months and was discontinued once the patient's eye findings improved. With a sudden onset of neurological findings in a healthy infant with normal neuroimaging, IIH should be considered in the differential diagnosis and cerebrospinal fluid pressure should be measured. The principles of treatment for this disease are based on adult guidelines, but the efficacy of acetazolamide has also been reported in the pediatric population, like in our case.
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页数:4
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