Asymmetric Papilloedema or Normal Cerebrospinal Fluid Pressure Do Not Rule Out Pseudotumour Cerebri

Objectives: Pseudotumour cerebri syndrome (PTC) is an infrequent clinical entity in children, diagnosis and early treatment are essential to prevent potentially irreversible sequelae. This study aims to review our experience with children diagnosed with PTC. Methods: Demographics data, aetiology, clinical features, fundus examination, neuroimaging studies, treatment, and outcome of patients with PTC were analysed. Results: Our study group was consisting of nine patients. The most common presenting symptom was headache (77.7%). Unilateral sixth nerve paralysis was the only symptom in one patient. One patient had fulfilled all the modified Dandy criteria except the increased cerebrospinal fluid (CSF) pressure and was evaluated as normal pressure PTC. All patients had bilateral papilloedema, one of them had asymmetric papilloedema. Conclusions: In this study, we want to emphasize that there may be PTC without increased CSF pressure or with asymmetric papilloedema and unilateral sixth nerve paralysis may be the only finding.