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Simultaneous papilledema and optic disc drusen in a child
Mustafa Komur1, Ayca Sari, Cetin Okuyaz
1Department of Pediatric Neurology, School of Medicine, Mersin University, Mersin, Turkey. drmustafakomur@yahoo.com
Pediatric Neurology
|February 23, 2012
Summary
Idiopathic intracranial hypertension (IIH) can present with optic disc drusen. This case report details the youngest patient diagnosed with both conditions, highlighting diagnostic challenges and co-occurrence.
Area of Science:
- Neuro-ophthalmology
- Pediatric Neurology
Background:
- Idiopathic intracranial hypertension (IIH) is a neurological disorder causing elevated intracranial pressure.
- Optic disc drusen are abnormal growths on the optic nerve head, sometimes mimicking IIH symptoms.
Observation:
- A 6.5-year-old boy presented with headache, esotropia, and diplopia, suggestive of IIH.
- Lumbar puncture revealed elevated cerebrospinal fluid pressure, which resolved his symptoms.
- Persistent optic disc elevation post-lumbar puncture led to further investigation.
Findings:
- Ocular ultrasonography confirmed optic disc drusen.
- This patient represents the youngest reported case of coexisting optic disc drusen and IIH.
- The case underscores the importance of differentiating IIH from optic disc drusen in pediatric patients.
Implications:
- Accurate diagnosis is crucial to avoid unnecessary IIH treatment and manage optic disc drusen effectively.
- This case expands the understanding of the co-occurrence of IIH and optic disc drusen in young patients.
- Further research may elucidate shared pathophysiological mechanisms or risk factors.
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