Guiding follow-up of paediatric idiopathic intracranial hypertension with optical coherence tomography.
BMJ Case Rep
; 20162016 Mar 03.
Article
in En
| MEDLINE
| ID: mdl-26941344
ABSTRACT
Idiopathic intracranial hypertension (IIH) is uncommon in the paediatric population. Papilloedema is the hallmark sign and patients can suffer permanent vision loss as a consequence. We describe the role of optical coherence tomography (OCT) in the follow-up of two paediatric patients with newly diagnosed IIH. Patient A presented with vomiting and examination showed ophthalmoplaegia and papilloedema. She was treated with acetazolamide, furosemide and therapeutic lumbar punctures. Patient B presented with incidental papilloedema and was treated with acetazolamide and she reported intermittent headache during follow-up. Fundoscopic examinations for both patients showed persistent blurred disc margins but OCT examinations documented improvement of average retinal nerve fibre layers. OCT may be of value in monitoring for recurrence in paediatric IIH.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pseudotumor Cerebri
/
Papilledema
/
Tomography, Optical Coherence
Type of study:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Child
/
Female
/
Humans
Language:
En
Journal:
BMJ Case Rep
Year:
2016
Document type:
Article
Affiliation country:
Singapore