Idiopathic intracranial hypertension in a child after hemodialysis.
Idiopathic intracranial hypertension remains a disease of unknown etiology. Epidemiology, associations, features, and prognosis in children have changed over the years. The main clinical complaint of pediatric idiopathic intracranial hypertension is headache with visual disturbance. We report on a patient with childhood idiopathic intracranial hypertension, who presented without headache after hemodialysis for acute renal failure. Idiopathic intracranial hypertension without headache is believed to have a poor prognosis. However, this child demonstrated a favorable outcome with medical therapy. The child was followed with serial optical coherence tomography of retinal nerve fiber layer thickness around the optic nerve head. In the absence of a reliable procedure to evaluate the therapeutic efficacy in the follow-up of patients with idiopathic intracranial hypertension, the importance of optical coherence tomography, a noninvasive, objective, and reproducible procedure, is highlighted as a useful adjunct in the management of idiopathic intracranial hypertension.
Ghosh
Sambuddha
S
Regional Institute of Ophthalmology, Kolkata, India. sambuddhaghosh@gmail.com
Sarkar
Krishnendu
K
Mukhopadhyay
Subhalakshmi
S
Bhaduri
Gautam
G
D058186:Acute Kidney Injury / Q000628:therapy; D000293:Adolescent; D005260:Female; D006801:Humans; D011559:Pseudotumor Cerebri / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006435:Renal Dialysis / Q000009:adverse effects / Q000379:methods*; D041623:Tomography, Optical Coherence; D014786:Vision Disorders / Q000209:etiology