Document Detail

Idiopathic intracranial hypertension and facial palsy: case report and review of the literature.
MedLine Citation:
PMID:  20921567     Owner:  NLM     Status:  In-Data-Review    
We present the case of an 11-year-old obese girl who presented with idiopathic intracranial hypertension affecting first the lateral abducens nerve. She received acetazolamide, but 5 days later she developed lateral, peripheral facial palsy. Imaging evaluation was normal, which primarily excluded cerebral venous thrombosis and sustained the initial diagnosis. Despite some complicating factors (obesity, elevated intracranial pressure), prednisolone was administered for a short-term period to counteract the facial palsy. Ophthalmological residuals resolved within almost 1.5 months, while facial palsy receded after 4 months. Peripheral facial palsy is an extremely rare, but not unknown condition in idiopathic intracranial hypertension. As a symptom, it should be investigated thoroughly, primarily to exclude cerebral venous sinus thrombosis, before it can be attributed to idiopathic intracranial hypertension. As far as treatment is concerned, corticosteroids can be added to the initial treatment with acetazolamide, without worsening already elevated intracranial hypertension or ophthalmologic findings.
Meropi Tzoufi; Alexandros Makis; Vasilios Grammeniatis; Iliada Nakou; Georgios Exarchakos; Ioannis Asproudis; Anastasia Zikou; Maria Argyropoulou; Antigone Siamopoulou-Mavridou
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Publication Detail:
Type:  Journal Article     Date:  2010-10-04
Journal Detail:
Title:  Journal of child neurology     Volume:  25     ISSN:  1708-8283     ISO Abbreviation:  J. Child Neurol.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8606714     Medline TA:  J Child Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1529-34     Citation Subset:  IM    
Department of Child Health, the University of Ioannina Medical School, Ioannina, Greece.
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