Visual failure without headache in idiopathic intracranial hypertension

Lim, M.

doi:10.1136/adc.2003.039305

Cited by 60 publications

(52 citation statements)

References 30 publications

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“…Headache is the main complaint among children with IIH and has been documented in 62–91% of cases [4,18,20]. There are also reports of IIH without headache symptoms [21,22], either because the child is too young to articulate [6] or because headaches are absent [23].…”

Section: Clinical Presentationmentioning

confidence: 99%

“…The reason for lack of headache despite increased ICP is unknown. Children with IIH but without headaches, tend to have more neurological signs and vision loss at presentation and a poorer prognosis [20]. The headaches may be a warning sign before vision loss occurs [20], and aggressive reduction of ICP and treatment of papilledema is critical.…”

Section: Clinical Presentationmentioning

confidence: 99%

See 1 more Smart Citation

Pediatric Idiopathic Intracranial Hypertension (Pseudotumor Cerebri)

Liu²

2010

Horm Res Paediatr

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Idiopathic intracranial hypertension (IIH), or pseudotumor cerebri, is a condition of elevated intracranial pressure in the absence of clinical, laboratory or radiological evidence of an intracranial space occupying lesion that can occur in the pediatric population. While IIH is more commonly recognized as a disorder of adults, it affects children of all ages and can have distinctive characteristics when presenting in the prepubertal age group. This review discusses the demographics, clinical presentation, diagnosis, neuroimaging, and management of pediatric IIH. Common etiologies of IIH in children, with particular focus on endocrine abnormalities, are highlighted.

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Section: Clinical Presentationmentioning

confidence: 99%

Section: Clinical Presentationmentioning

confidence: 99%

Pediatric Idiopathic Intracranial Hypertension (Pseudotumor Cerebri)

Liu²

2010

Horm Res Paediatr

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“…It has been reported that it could be associated with ventricular compliance and increased pressure process. [7] This variability in symptoms is reported to be more similar to differences in headache threshold of women and men. Reasons such as having migraine and TTH more common in women, having greater total time of painful mechanical stimulation in women compared to men associate women to have lower threshold to pain than men.…”

Section: Case Reportmentioning

confidence: 71%

“…When groups of with headache and without headache are compared; patients without headache were being presented with younger, more neurological symptoms, severe vision loss and visual field defects. [7] In a retrospective study on 152 children suffering from PTS, in 22 of the patients (14.5%), headache was not detected. The ratio of girls and boys in these patients are (13; 9) (59.1%: (48.1%).…”

Section: Case Reportmentioning

confidence: 97%

IDIOPATHIC INTRACRANIAL HYPERTENSION WITHOUT HEADACHE: A CASE REPORT and LITERATURE REVIEW

Eren

Kabataş²,

Yavaşoğlu³

et al. 2017

Agri

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SummaryIn this article, a 23-year-old man who has an idiopathic intracranial hypertension (IIH) case is presented with blurred vision and diplopia, without headaches is reported. Although headache is the most common symptom seen in IIH, sometimes it may not be observed clinically. This situation is defined more in males in young and children and thin patients. Crucial point here is that they are being presented with serious visual evidence, so they must be aggressively treated.Keywords: Headache; idiopathic intrcarial hypertension; men; papil edema. ÖzetBu yazıda başağrısı olmaksızın, bulanık görme ve diplopi ile presente olan, 23 yaşında erkek İdiopatik intrakranial hipertansiyon (İİH) olgusu bildirilmiştir. İHH'de başağrısı en sık görülen semptom olmasına rağmen, bazen klinik olarak görülmeyebilir.Bu durum daha çok erkeklerde gençler özellikle çocuklarda ve zayıf hastalarda tanımlanmıştır. Buradaki önemli nokta bu hastalar ciddi görsel bulgularla presente olmaktadırlar, bu nedenle agresif tedavi edilmelidirler.Anahtar sözcükler: Başağrısı; idiopatik intrakranial hipertansiyon; erkek; papil ödem.

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“…4,6 Occasionally, IIH may present without headache, and these children are more likely to present with vision loss and have a poorer prognosis. 8 Patients may also complain of tinnitus, visual changes, ataxia, paresthesias, stiff neck, or myalgias. 4,6 Visual changes may include restriction of visual fi elds and loss of visual acuity.…”

Section: Symptoms and Signsmentioning

confidence: 99%