Pediatric pseudotumor cerebri

被引:12
作者
Rook, Brita S. [1 ]
Phillips, Paul H. [1 ]
机构
[1] Univ Arkansas Med Sci, Arkansas Childrens Hosp, Dept Ophthalmol, Jones Eye Inst, Little Rock, AR 72205 USA
关键词
papilledema; pediatric idiopathic intracranial hypertension; pediatric pseudotumor cerebri; IDIOPATHIC INTRACRANIAL HYPERTENSION; LINE OCT MEASUREMENTS; TREATMENT TRIAL; OBESITY; CHILDREN; TIME;
D O I
10.1097/ICU.0000000000000300
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose of reviewRecent findings in the literature regarding the epidemiology, diagnosis, and treatment of pediatric pseudotumor cerebri (PTC) are described. In the past, children with PTC have been treated like adult cases; however, the literature highlights important differences between children and adults with PTC.Recent findingsRevised diagnostic criteria define an opening cerebrospinal fluid pressure greater than 28cm water as elevated in the pediatric population. Obesity is an important risk factor for primary and secondary PTC in post-pubertal children. Magnetic resonance imaging shows findings suggestive of elevated intracranial pressure in children with PTC, similar to those of adults with PTC. Diamox and weight loss are effective treatments for PTC patients with mild visual field loss. Severe papilledema, decreased vision, and optical coherence tomography measures at presentation identify patients at increased risk for subsequent visual loss.SummaryFindings summarized in the recent literature may change practice patterns in the diagnosis and treatment of pediatric PTC. Although there are many similarities between the adult and pediatric populations, the differences should be considered when managing children with PTC.
引用
收藏
页码:416 / 419
页数:4
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