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Benign Intracranial Hypertension -Is it Really Benign Always?
Anita Ganger1, Narahari Kishore Kumar, Praveen Kumar
1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi.
Idiopathic intracranial hypertension (IIH) in children is rare and often delayed in diagnosis. Prompt treatment with lumboperitoneal shunting can improve vision and relieve symptoms in adolescent girls.
Area of Science:
- Pediatric Neurology
- Ophthalmology
- Neurosurgery
Background:
- Idiopathic intracranial hypertension (IIH) is uncommon in children, with variable symptoms leading to diagnostic delays.
- Subtle visual changes in pre-pubertal children can be missed, risking permanent vision loss.
- Headache, vomiting, visual impairment, neck pain, and diplopia are common presenting symptoms.
Observation:
- Two adolescent girls with IIH presented with papilledema, headache, and severe visual loss.
- These patients were unresponsive to medical management.
- Lumboperitoneal shunting was performed as a surgical intervention.
Findings:
- Lumboperitoneal shunting resulted in favorable outcomes for both patients.
- Improved visual acuity was observed post-procedure.
- Symptomatic relief, including headache reduction, was achieved.
Implications:
- Enhanced awareness and prompt diagnosis of IIH in children are crucial.
- Early treatment is essential to prevent irreversible visual damage.
- Surgical intervention, such as lumboperitoneal shunting, is vital for medically unresponsive cases.
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