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Pseudotumor cerebri and nutritional rickets
Insights
Nutritional rickets can cause a bulging fontanelle, a sign often missed. This condition, associated with benign increased intracranial pressure, requires consideration in pediatric cases.
Area of Science:
- Pediatrics
- Nutritional Science
- Neurology
Background:
- Benign increased intracranial pressure (ICP) can manifest as a bulging fontanelle.
- Nutritional rickets is a condition primarily affecting bone health due to vitamin D deficiency.
Observation:
- Two pediatric cases presented with bulging anterior fontanelles.
- These children were diagnosed with pseudotumor cerebri.
Findings:
- A diagnosis of nutritional rickets was established in both cases.
- The bulging fontanelle was linked to pseudotumor cerebri secondary to nutritional rickets.
Implications:
- Clinicians should consider nutritional rickets in infants presenting with a bulging fontanelle.
- Early diagnosis and treatment of nutritional rickets can prevent neurological complications.
Abstract:
A bulging fontanelle due to benign increased intracranial pressure is not generally recognized as a manifestation of nutritional rickets but should be considered in the appropriate clinical setting. Two children who we saw presented with bulging anterior fontanelles were found to have pseudotumor cerebri in association with nutritional rickets.
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