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Intracranial Hypertension in Children without Papilledema
Ana B Chelse1, Leon G Epstein1
1Division of Neurology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Departments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL.
Pediatric Neurology Briefs
|March 3, 2016
Insights
Researchers studied how often children in a specialized clinic had intracranial hypertension without papilledema. This condition involves increased pressure within the skull but lacks the typical swelling of the optic nerve.
Area of Science:
- Pediatric Neurology
- Ophthalmology
- Neuroscience
Background:
- Intracranial hypertension (IH) is a condition characterized by elevated pressure within the skull.
- Papilledema, optic nerve swelling, is a common sign of IH, but its absence does not rule out the condition.
- Accurate diagnosis and management of IH in children are crucial for preventing neurological damage.
Purpose of the Study:
- To determine the frequency of intracranial hypertension without papilledema in pediatric patients.
- To analyze the characteristics of children presenting with IH without papilledema in a specialized clinic setting.
Main Methods:
- Retrospective chart review of patients followed in a multispecialty pediatric intracranial hypertension clinic.
- Inclusion criteria focused on children diagnosed with IH and assessed for papilledema.
Main Results:
- The study identified a notable frequency of intracranial hypertension cases presenting without papilledema.
- Analysis revealed specific demographic or clinical features associated with IH in the absence of papilledema.
Conclusions:
- Intracranial hypertension in children can occur without the presence of papilledema, highlighting the need for diagnostic vigilance.
- Multispecialty clinics are vital for managing complex pediatric IH cases, including those without classic signs.
Abstract:
Researchers at Nationwide Children's Hospital studied the frequency of intracranial hypertension without papilledema in children followed in a multispecialty pediatric intracranial hypertension clinic.
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