title: Obstructive sleep apnea syndrome with bilateral papilledema and vision loss in a 3-year-old child.
abstract: We describe bilateral papilledema and vision loss in a 3-year-old child with obstructive sleep apnea. Although lumbar puncture initially disclosed a normal opening pressure, cerebrospinal fluid (CSF) pressure monitoring during sleep confirmed intermittent episodes of elevated intracranial pressure corresponding to increased airway resistance. The association of obstructive sleep apnea and raised intracranial pressure is recognized in children with craniosynostosis but has not been reported in its absence.
authors.affiliation: West of England Eye Unit, Royal Devon and Exeter Hospital, Exeter, United Kingdom. anthony.quinn@rdehc-tr.swest.nhs.uk
authors.forename: Anthony G
authors.initials: AG
authors.lastname: Quinn
authors.forename: Pieter
authors.initials: P
authors.lastname: Gouws
authors.forename: Sophie
authors.initials: S
authors.lastname: Headland
authors.forename: Patrick
authors.initials: P
authors.lastname: Oades
authors.forename: Ian
authors.initials: I
authors.lastname: Pople
authors.forename: David
authors.initials: D
authors.lastname: Taylor
authors.forename: J Sarah
authors.initials: JS
authors.lastname: Benton
authors.forename: J Raymond
authors.initials: JR
authors.lastname: Buncic
authors.forename: John
authors.initials: J
authors.lastname: Henderson
authors.forename: Peter
authors.initials: P
authors.lastname: Fleming
mesh_terms: D002675:Child, Preschool; D004948:Esotropia / Q000150:complications* / Q000000981:diagnostic imaging; D007839:Functional Laterality; D006801:Humans; D008297:Male; D020181:Sleep Apnea, Obstructive / Q000150:complications* / Q000000981:diagnostic imaging; D012913:Snoring; D014068:Tonsillectomy; D016896:Treatment Outcome; D014463:Ultrasonography; D014792:Visual Acuity