Obstructive sleep apnea syndrome with bilateral papilledema and vision loss in a 3-year-old child.
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.
Quinn
Anthony G
AG
West of England Eye Unit, Royal Devon and Exeter Hospital, Exeter, United Kingdom. anthony.quinn@rdehc-tr.swest.nhs.uk
Gouws
Pieter
P
Headland
Sophie
S
Oades
Patrick
P
Pople
Ian
I
Taylor
David
D
Benton
J Sarah
JS
Buncic
J Raymond
JR
Henderson
John
J
Fleming
Peter
P
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