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Modeling Posthemorrhagic Hydrocephalus of Prematurity in Rats
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Pediatric pseudotumor cerebri.

Brita S Rook1, Paul H Phillips

  • 1Department of Ophthalmology, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Jones Eye Institute, Little Rock, Arkansas, USA.

Current Opinion in Ophthalmology
|August 5, 2016
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Summary
This summary is machine-generated.

Pediatric pseudotumor cerebri (PTC) diagnosis and treatment differ from adults. Revised criteria and risk factors like obesity are key, with Diamox and weight loss showing effectiveness for mild cases.

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Area of Science:

  • Neurology
  • Ophthalmology
  • Pediatrics

Background:

  • Pseudotumor cerebri (PTC) in children requires tailored management distinct from adults.
  • Literature review highlights evolving understanding of pediatric PTC.

Purpose of the Study:

  • To review recent findings on pediatric pseudotumor cerebri (PTC) epidemiology, diagnosis, and treatment.
  • To emphasize differences between pediatric and adult PTC cases.

Main Methods:

  • Literature review of recent studies on pediatric PTC.
  • Analysis of diagnostic criteria, risk factors, imaging, and treatment outcomes.

Main Results:

  • Revised diagnostic criteria: elevated cerebrospinal fluid pressure >28 cm H2O in children.
  • Obesity is a significant risk factor in post-pubertal children.
  • MRI findings suggestive of elevated intracranial pressure are similar to adults.
  • Diamox and weight loss are effective for mild visual field loss.
  • Severe papilledema and decreased vision predict higher risk of visual loss.

Conclusions:

  • Recent findings may alter current pediatric PTC diagnosis and treatment practices.
  • Pediatric PTC management should consider specific differences compared to adults.