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Transient intracranial hypertension of infancy

N P Mann1, N J McLellan, P H Cartlidge

  • 1Department of Paediatrics, University Hospital, Queen's Medical Centre, Nottingham.

Archives of Disease in Childhood
|August 1, 1988
PubMed

Insights

Febrile illnesses in infants can cause temporary intracranial hypertension, leading to a bulging fontanelle and irritability. This condition resolves without lasting effects.

Area of Science:

  • Pediatrics
  • Neurology
  • Infectious Diseases

Background:

  • Febrile illnesses are common in infants.
  • Intracranial hypertension (IH) is a serious condition in infants.
  • Anterior fontanelle examination is crucial for assessing infant health.

Observation:

  • Four infants presented with febrile illnesses on multiple occasions.
  • Clinical signs included irritability and a bulging anterior fontanelle.
  • These symptoms suggested elevated pressure within the skull.

Findings:

  • The infants exhibited signs consistent with a transient form of intracranial hypertension.
  • The condition appeared to be temporary, resolving over time.
  • No long-term neurological deficits were noted in this small cohort.

Implications:

  • Recognizing these signs is vital for prompt diagnosis and management of IH in infants.
  • Transient IH associated with febrile illness may be a distinct clinical entity.
  • Further research is needed to understand the pathophysiology and long-term outcomes.

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