Ozge Aynur, Bolay Hayrunnisa
Department of Neurology, Mersin University School of Medicine, 33079, Mersin, Turkey,
Curr Pain Headache Rep. 2014 Jul;18(7):430. doi: 10.1007/s11916-014-0430-7.
The specific aim of this review is to report the features of intracranial pressure changes [spontaneous intracranial hypotension (SIH) and idiopathic intracranial hypertension (IIH)] in children and adolescents, with emphasis on the presentation, diagnosis, and treatment modalities. Headache associated with intracranial pressure changes are relatively rare and less known in children and adolescents. SIH is a specific syndrome involving reduced intracranial pressure with orthostatic headache, frequently encountered connective tissue disorders, and a good prognosis with medical management, initial epidural blood patching, and sometimes further interventions may be required. IIH is an uncommon condition in children and different from the disease in adults, not only with respect to clinical features (likely to present with strabismus and stiff neck rather than headache or pulsatile tinnitus) but also different in outcome. Consequently, specific ICP changes of pediatric ages required specific attention both of exact diagnosis and entire management.
本综述的具体目的是报告儿童和青少年颅内压变化（自发性颅内低压和特发性颅内高压）的特征，重点关注其表现、诊断和治疗方式。与颅内压变化相关的头痛在儿童和青少年中相对少见且鲜为人知。自发性颅内低压是一种特殊综合征，表现为颅内压降低伴体位性头痛，常伴有结缔组织疾病，通过药物治疗、初始硬膜外血贴治疗，预后良好，有时可能需要进一步干预。特发性颅内高压在儿童中并不常见，且与成人疾病不同，不仅在临床特征方面（可能表现为斜视和颈部僵硬而非头痛或搏动性耳鸣）不同，而且在预后方面也不同。因此，儿童期特定的颅内压变化在准确诊断和整体管理方面都需要特别关注。
