학술논문

Intracranial Hypertension in Children.
Document Type
Article
Source
Journal of Child Neurology. Oct2015, Vol. 30 Issue 12, p1562-1568. 7p.
Subject
*INTRACRANIAL hypertension
*HYPERTENSION in children
*COMORBIDITY
*CEREBROSPINAL fluid pressure
*VITAMIN D deficiency
*SINUSITIS
*HYPOPHOSPHATASIA
*MEASLES vaccines
*PATIENTS
Language
ISSN
0883-0738
Abstract
This retrospective study aimed to describe the clinical presentations, possible causes, and outcomes of children with idiopathic intracranial hypertension who presented to the authors’ clinic. The mean age at onset of symptoms in the authors’ cohort of 19 children was 6 years (range: 7 months to 12 years). Most patients (90%) were under 11 years old and (84.2%) symptomatic. The probable cause was identified in 7/19 (37.0%) patients. The most common cause was vitamin D deficiency (26.3%). Other associated probably coincidental comorbidities included sinusitis (5/19, 26.3%), hypophosphatasia (1/19), Pyle disease (1/19), and measles vaccine (1/19). Apart from 2 patients who required lumboperitoneal shunt, the cerebrospinal fluid pressure returned to normal in all patients within a period of 6 weeks to 1 year (average, 5 months). Of those who followed up with the authors’ ophthalmologist, 30.7% developed optic atrophy or pallor; 75% of these patients had previous ocular comorbidities. [ABSTRACT FROM AUTHOR]