Ghosh Sambuddha, Sarkar Krishnendu, Mukhopadhyay Subhalakshmi, Bhaduri Gautam
Regional Institute of Ophthalmology, Kolkata, India.
Pediatr Neurol. 2008 Oct;39(4):272-5. doi: 10.1016/j.pediatrneurol.2008.07.007.
Idiopathic intracranial hypertension remains a disease of unknown etiology. Epidemiology, associations, features, and prognosis in children have changed over the years. The main clinical complaint of pediatric idiopathic intracranial hypertension is headache with visual disturbance. We report on a patient with childhood idiopathic intracranial hypertension, who presented without headache after hemodialysis for acute renal failure. Idiopathic intracranial hypertension without headache is believed to have a poor prognosis. However, this child demonstrated a favorable outcome with medical therapy. The child was followed with serial optical coherence tomography of retinal nerve fiber layer thickness around the optic nerve head. In the absence of a reliable procedure to evaluate the therapeutic efficacy in the follow-up of patients with idiopathic intracranial hypertension, the importance of optical coherence tomography, a noninvasive, objective, and reproducible procedure, is highlighted as a useful adjunct in the management of idiopathic intracranial hypertension.
特发性颅内高压仍然是一种病因不明的疾病。多年来，儿童特发性颅内高压的流行病学、相关因素、特征和预后都发生了变化。儿童特发性颅内高压的主要临床症状是头痛伴视力障碍。我们报告了一名患有儿童特发性颅内高压的患者，该患者在因急性肾衰竭进行血液透析后未出现头痛症状。无头痛症状的特发性颅内高压被认为预后较差。然而，这名儿童通过药物治疗取得了良好的效果。对该儿童进行了视神经乳头周围视网膜神经纤维层厚度的系列光学相干断层扫描随访。在缺乏评估特发性颅内高压患者随访中治疗效果的可靠方法的情况下，光学相干断层扫描这种无创、客观且可重复的方法作为特发性颅内高压管理中的一种有用辅助手段的重要性得到了凸显。
