Aggarwal Anand, Kaur Prempal, Chhabra Kanika, Singh Karamjit, Goyal Piyush
Nepal J Ophthalmol. 2017 Jan;9(18):74-78. doi: 10.3126/nepjoph.v9i1.17539.
Idiopathic Intracranial Hypertension (IIH) is characterised by raised intracranial pressure (ICP) with normal cerebrospinal fluid (CSF) composition and absence of hydrocephalus or space occupying lesions. IIH is a rare disease in children. It can lead to visual impairment but prompt diagnosis and treatment in most of the cases will prevent potentially permanent visual loss.
To report a rare case of Idiopathic Intracranial Hypertension in a pubertal child, clinical features, and findings of Magnetic Resonance Imaging (MRI) and visual field of this case.
An adolescent girl aged 14 years presented with headache and transient visual obscuration for two weeks. On examination, findings (fundus, visual field and MRI) were suggestive of Idiopathic intracranial hypertension. She did not have any classical predisposing risk factors. She recovered very well with acetazolamide and short term steroid therapy with no sequelae and clinical recurrence over a follow up of 12 months.
This is a rare case of IIH in a child, which was confirmed on the MRI and visual field testing.
特发性颅内高压（IIH）的特征是颅内压（ICP）升高，脑脊液（CSF）成分正常，且无脑积水或占位性病变。IIH在儿童中是一种罕见疾病。它可导致视力损害，但大多数情况下及时诊断和治疗可预防潜在的永久性视力丧失。
报告一例青春期儿童特发性颅内高压的罕见病例、临床特征、磁共振成像（MRI）检查结果及该病例的视野情况。
一名14岁少女因头痛和短暂性视力模糊两周前来就诊。经检查，（眼底、视野和MRI）检查结果提示特发性颅内高压。她没有任何典型的易感危险因素。使用乙酰唑胺和短期类固醇治疗后，她恢复得很好，在12个月的随访中无后遗症且无临床复发。
这是一例儿童IIH罕见病例，经MRI和视野检查得以确诊。
