Document Detail

Idiopathic intracranial hypertension in children: visual outcome and risk of recurrence.
MedLine Citation:
PMID:  21538129     Owner:  NLM     Status:  Publisher    
PURPOSE: Idiopathic intracranial hypertension (IIH) is a disorder associated with increased intracranial pressure without evidence of a space-occupying lesion and with normal cerebrospinal fluid constituents. The disease is rare in the pediatric population. In this study, we assessed the visual outcome of children with IIH and the risk of recurrence. METHODS: This single-center observational retrospective cohort study included 90 children younger than 18 years of age who satisfied the modified Dandy criteria for the diagnosis of IIH. Upon follow-up, the treatment was discontinued when patients were free of symptoms such as headaches, transient visual obscurations or tinnitus, and when examination revealed no evidence of papilledema. The main outcome measures were visual acuity and visual field outcomes as well as risk of recurrence. RESULTS: The mean follow-up was 30.65 months (range 1.15-172.6 months, standard deviation 27.47 months). Special grading scales were devised for visual acuity and visual field scores. The mean visual acuity score improved from 4.7 ± 0.62 to 4.87 ± 0.44 (p = 0.003).The mean visual field score improved from 3.41 ± 0.8 to 3.52 ± 0.75 (p = 0.21). The recurrence rate was 23.7%, and the risk of recurrence was highest within the first 18 months after diagnosis of IIH. CONCLUSIONS: These study results suggest that pediatric patients with IIH have a favorable visual outcome in terms of both visual acuity and visual field. If there is any recurrence, it is most likely to occur during the first 18 months after diagnosis.
Uri Soiberman; Chaim Stolovitch; Laura J Balcer; Michael Regenbogen; Shlomi Constantini; Anat Kesler
Related Documents :
19685109 - Priming with rocuronium or vecuronium prevents remifentanil-mediated muscle rigidity an...
22339 - Comparison of lorazepam and diazepam as premedicants.
16696509 - Standardization of anaesthesia ready time and reasons of delay in induction of anaesthe...
18557709 - Nurse-administered propofol sedation for upper endoscopic ultrasonography.
20497149 - Tracheal intubation using the airtraq: a comparison with the lightwand.
20357149 - Tracheal intubation of a difficult airway using airway scope, airtraq, and macintosh la...
22196469 - A multicenter open-label phase i/ii study to assess the safety, tolerability, and effic...
9776149 - Early experience of endoscopic extirpation of benign breast tumors via an extra-mammary...
17869409 - Holmium laser enucleation of the prostate versus open prostatectomy for prostates great...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-3
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  -     ISSN:  1433-0350     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Neuro-Opthalmology Unit, Department of Ophthalmology, Tel Aviv Medical Center, Tel Aviv, Israel,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The value of intraoperative neurophysiological monitoring in tethered cord surgery.
Next Document:  Pediatric low-grade glioma survivors experience high quality of life.