Izci Yusuf, Kırık Alpaslan, Mutlu Fatih Mehmet
Department of Neurosurgery, Gulhane Military Medical Academy, Ankara, Turkey.
Saudi J Ophthalmol. 2010 Oct;24(4):159-62. doi: 10.1016/j.sjopt.2010.04.004. Epub 2010 Jun 5.
Intracranial hypertension is usually presented with papilledema and headache. Complete ophthalmoplegia without papilledema is a very rare finding of intracranial hypertension in children. A 5-year-old male patient with unilateral ophthalmoplegia due to increased intracranial pressure is presented. The fundoscopic examination and the magnetic resonance imaging of the brain were normal. He underwent lumboperitoneal shunt insertion for intracranial hypertension and the ophthalmoplegia was resolved one month later. Complete ophthalmoplegia without papilledema may occur following intracranial hypertension. Prompt and accurate diagnosis should be done and appropriate treatment to reduce the pressure should be performed to save the life of the children.
颅内高压通常表现为视乳头水肿和头痛。无视乳头水肿的完全性眼肌麻痹是儿童颅内高压非常罕见的表现。本文报告一名5岁男性患者，因颅内压升高出现单侧眼肌麻痹。眼底检查和脑部磁共振成像均正常。他因颅内高压接受了腰大池腹腔分流术，1个月后眼肌麻痹得到缓解。颅内高压后可能会出现无视乳头水肿的完全性眼肌麻痹。应及时准确诊断并采取适当的减压治疗以挽救儿童生命。
