title: Idiopathic intracranial hypertension without papilledema.
abstract: Idiopathic intracranial hypertension is characterized by high cerebrospinal fluid pressure with no underlying structural or systemic cause. Idiopathic intracranial hypertension without papilledema, although well-described in adults, is rarely reported in the pediatric population. The usual presentation is similar to that of chronic daily headache, with some features of migraine. However, treatment modalities are different, and specific therapy can lead to significant improvement in symptoms. We describe six children with chronic daily headache, who were diagnosed with idiopathic intracranial hypertension without papilledema. The response to medical management was variable. One child required a lumboperitoneal shunt for persistent signs, with good surgical outcome.
authors.affiliation: Department of Paediatric Neurology, Leicester Royal Infirmary, University Hospitals of Leicester, Leicester, United Kingdom. sushilberi@gmail.com
authors.forename: Sushil
authors.initials: S
authors.lastname: Beri
authors.forename: Jayaprakash A
authors.initials: JA
authors.lastname: Gosalakkal
authors.forename: Nahin
authors.initials: N
authors.lastname: Hussain
authors.forename: Anand P
authors.initials: AP
authors.lastname: Balky
authors.forename: Srinivas
authors.initials: S
authors.lastname: Parepalli
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D020773:Headache Disorders / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D019586:Intracranial Hypertension / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D010211:Papilledema; D016896:Treatment Outcome