Ganger Anita, Kumar Narahari Kishore, Kumar Praveen, Sabharwal R K, Khosla Amit, Saxena Rohit
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi.
Nepal J Ophthalmol. 2018 Jan;10(19):102-106. doi: 10.3126/nepjoph.v10i1.21726.
In children, benign or idiopathic intracranial hypertension (IIH) is uncommon. The presenting symptoms are usually variable, which attribute to delay in diagnosis. Frequently encountered symptoms include; headache, vomiting, visual impairment, neck pain and diplopia. IIH in pre-pubertal children has distinct characteristics from the adult form. Delayed diagnosis in children usually attributes to the inability in picking subtle visual changes, which can subsequently leads to permanent visual damage.
We report cases of two adolescent girls having IIH who presented with papilloedema, could be managed with lumboperitoneal shunting which resulted in favorable outcomes in terms of improved visual acuity and relief of symptoms.
We report two cases of IIH, presented with headache and severe visual loss, which showed non responsiveness to medical management and improved with a lumboperitoneal shunt procedure.
In IIH cases, enhanced awareness, prompt diagnosis and treatment are important, to avoid the risk of permanent visual damage. Urgent surgical intervention is essential in patients who do not respond to medical treatment.
儿童良性或特发性颅内高压（IIH）并不常见。其呈现的症状通常多变，这导致诊断延迟。常见症状包括头痛、呕吐、视力损害、颈部疼痛和复视。青春期前儿童的IIH具有与成人形式不同的特征。儿童诊断延迟通常归因于无法察觉细微的视力变化，这随后可能导致永久性视力损害。
我们报告两例患有IIH的青春期女孩病例，她们表现为视乳头水肿，可通过腰大池-腹腔分流术进行治疗，在视力改善和症状缓解方面取得了良好效果。
我们报告两例IIH病例，表现为头痛和严重视力丧失，对药物治疗无反应，经腰大池-腹腔分流术治疗后病情改善。
在IIH病例中，提高认识、及时诊断和治疗很重要，以避免永久性视力损害的风险。对药物治疗无反应的患者进行紧急手术干预至关重要。
