Insidious craniosynostosis and chronic papilledema in childhood.
OBJECTIVE
We studied a case of chronic papilledema in a 5-year-old child with visual loss who presented no obvious cosmetic abnormalities.


METHODS
Neuroradiologic investigations were suggestive of craniosynostosis. The child underwent decompressive cranial surgery. Postoperatively, the papilledema totally regressed, and visual acuity recovered to 20/20 in both eyes.


RESULTS
The chronic papilledema was confirmed to be related to harmonious oxycephaly.


CONCLUSIONS
Insidious craniosynostosis is an unusual cause of chronic papilledema in childhood. The papilledema may be resolved and visual loss prevented by surgery.
Dollfus
H
H
Department of Ophthalmology, Hôpital Necker-Enfants Malades, Université Paris V, France.
Vinikoff
L
L
Renier
D
D
Dufier
J L
JL
D002675:Child, Preschool; D002908:Chronic Disease; D003398:Craniosynostoses / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D007427:Intracranial Pressure; D010211:Papilledema / Q000209:etiology* / Q000503:physiopathology; D011859:Radiography; D012886:Skull / Q000000981:diagnostic imaging; D014786:Vision Disorders / Q000209:etiology / Q000503:physiopathology; D014792:Visual Acuity