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Related Experiment Videos

Pediatric tetracycline-induced pseudotumor cerbri.

A G Quinn1, S B Singer, J R Buncic

  • 1Department of Ophthalmology, The Hospital For Sick Children, University of Toronto, Ontario, Canada.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|March 11, 1999
PubMed
Summary

Tetracycline antibiotics can cause pseudotumor cerebri in children, a condition previously underreported in this age group. Prompt treatment is crucial for avoiding long-term complications in pediatric patients.

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Area of Science:

  • Neurology
  • Pediatrics
  • Ophthalmology

Background:

  • Tetracyclines are known to cause pseudotumor cerebri in adults.
  • The occurrence of this condition in pediatric patients treated with tetracyclines is not well-characterized.
  • This study presents six pediatric cases to clarify the condition, patient profile, treatment response, and sequelae.

Purpose of the Study:

  • To investigate the occurrence and characteristics of pseudotumor cerebri in pediatric patients exposed to tetracyclines.
  • To delineate the patient profile, treatment response, and potential long-term effects.
  • To raise awareness among physicians treating children with tetracyclines about this potential complication.

Main Methods:

  • Retrospective analysis of patient records at the Hospital For Sick Children, Toronto.

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  • Inclusion criteria: diagnosis of pseudotumor cerebri and documented tetracycline use prior to presentation.
  • Study period: January 1, 1986, to March 1, 1996.
  • Main Results:

    • Six pediatric patients (ages 12-17, 5 female) were identified, all treated for acne vulgaris.
    • Symptoms included headache, nausea, and diplopia; most patients were in the upper quartile for BMI.
    • All patients responded to treatment, with symptom resolution within 1 day to 4 weeks and no long-term visual sequelae.

    Conclusions:

    • Pseudotumor cerebri associated with tetracycline-class drugs can occur in the pediatric population.
    • Prompt medical intervention can almost always prevent long-term sequelae.
    • Physicians must be aware of this potential adverse effect in children prescribed tetracyclines.