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特发性颅内高压患儿的行为障碍

Behavioral disorders in children with idiopathic intracranial hypertension.

作者信息

Parness-Yossifon Reut, Margalit Dov, Pollack Ayala, Leiba Hana

机构信息

Department of Ophthalmology, Kaplan Medical Center, Rehovot, Israel.

出版信息

J Child Neurol. 2008 Apr;23(4):447-50. doi: 10.1177/0883073807308709.

Abstract

The purpose of this research was to evaluate the association between idiopathic intracranial hypertension and behavior, attention, and learning abilities in children. Parents of school-age children with idiopathic intracranial hypertension were asked to fill out a questionnaire and to rank the child's behavioral patterns before and after the diagnosis and treatment of the disease. The questionnaire was based on Conners' test. Ten children were included in the study. Mean age at diagnosis was 11.5 years. Mean follow-up time was 25 months. Six patients (60%) met the definition of attention- and concentration-deficit disorders before diagnosis of idiopathic intracranial hypertension; 1 patient was treated with methylphenidate (Ritalin) before referral to eye examination. After the diagnosis was made and treatment was established, 5 patients (83%) reported an improvement in their attention and behavior. Of these 6 patients, 2 (33%) reported marked improvement. We conclude that attention- and concentration-deficit disorder might be an early sign for pediatric idiopathic intracranial hypertension. Diagnosis and treatment of idiopathic intracranial hypertension in these children may improve the child's behavior, attention, and achievements in school, without the need to resort to other modes of therapy.

摘要

本研究的目的是评估儿童特发性颅内高压与行为、注意力及学习能力之间的关联。患有特发性颅内高压的学龄儿童的家长被要求填写一份问卷,并对孩子在疾病诊断和治疗前后的行为模式进行排名。该问卷基于康纳斯测试。10名儿童被纳入研究。诊断时的平均年龄为11.5岁。平均随访时间为25个月。6名患者(60%)在特发性颅内高压诊断前符合注意力和专注力缺陷障碍的定义;1名患者在转诊进行眼科检查前接受了哌甲酯(利他林)治疗。在做出诊断并确立治疗后,5名患者(83%)报告其注意力和行为有所改善。在这6名患者中,2名(33%)报告有显著改善。我们得出结论,注意力和专注力缺陷障碍可能是儿童特发性颅内高压的早期迹象。对这些儿童的特发性颅内高压进行诊断和治疗可能会改善孩子的行为、注意力及学业成绩,而无需采用其他治疗方式。

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