Viuff Anne-Cathrine Finnemann, Hansen Jonas Kjeldberg, Møller Hans Ulrik
Børneafdelingen, Regionshospitalet Viborg, Heibergs Alle 4, 8800 Viborg, Denmark.
Ugeskr Laeger. 2013 Mar 4;175(10):661-2.
Idiopathic intracranial hypertension is often believed to be an illness exclusively occurring in obese women in their twenties and thirties. This case describes a four-year-old boy presenting with headache, vomiting photophobia and double vision for six days. He did not have a fever; and all exams and tests, including a magnetic resonance imaging of the brain showed normal values. During the eye examination, he was found to have bilateral papilloedema and when undergoing lumbar puncture an elevated pressure of 230 mm H(2)O was discovered. The patient was diagnosed with idiopathic intracranial hypertension and treated with azetazolamide. Within few days, his symptoms disappeared.
特发性颅内高压通常被认为是一种仅发生在二三十岁肥胖女性中的疾病。本病例描述了一名4岁男孩,出现头痛、呕吐、畏光和复视6天。他没有发热;所有检查和测试,包括脑部磁共振成像,结果均正常。眼部检查时发现他双侧视乳头水肿,腰椎穿刺时发现颅内压升高至230 mm H₂O。该患者被诊断为特发性颅内高压,并接受乙酰唑胺治疗。几天后,他的症状消失了。