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- Title
Az idiopathiás intracranialis hypertensio egy ritka esete - amikor már invazív beavatkozás szükséges.
- Authors
Csaba, Zsiborás; István, Péter; Laura, Szegner; Valéria, Gaál; Bálint, Kolumbán; Zsuzsanna, Herbert; Katalin, Hollódy
- Abstract
Introduction: An unidentified source of increased intracranial pressure is a hallmark of idiopathic intracranial hypertension (IIH). Its presentation signs are headaches and visual disturbances and can lead to severe complications, including vision loss, if left untreated. The most important therapeutic goal is to normalise the elevated intracranial pressure. Surgical intervention in the form of ventriculo-peritoneal shunt may be necessary in severe, pharmacoresistant cases. Case report: A 12-year-old obese boy was admitted with visual impairment, progressive headache and sleepiness. His vision was only sharp at about 10 cm and he could not identify colours. OCT examination confirmed papilloedema. MRI images did not show any intracranial space occupation, but indirect signs of IIH were confirmed. A lumbar puncture showed a pressure of 90 watercm. There was no improvement with conservative therapy, so a VP shunt was inserted. Conclusion: IIH is a very rare disease. The symptoms are variable, often vague, and the course is asymptomatic or very rapid. However, the diagnosis should be made as soon as possible and therapy should be started for a better ocular prognosis.
- Subjects
INTRACRANIAL hypertension; CEREBROSPINAL fluid shunts; INTRACRANIAL pressure; CONSERVATIVE treatment; MAGNETIC resonance imaging
- Publication
Gyermekgyógyászat, 2024, Vol 75, Issue 4, p290
- ISSN
0017-5900
- Publication type
Article