Idiopathic Intracranial Hypertension: A Clinical Dilemma

DHARMANSHU CHAUBE; ALPA GUPTA; RENU DHASMANA; MANJU SAINI

Volume : V, Issue : VIII, August - 2016

Idiopathic Intracranial Hypertension: A Clinical Dilemma

Dharmanshu Chaube, Alpa Gupta, Renu Dhasmana, Manju Saini

Abstract :

Idiopathic Intracranial hypertension (IIH) is a rare condition, incidence being 1 in 100,000 in general population and lesser in pediatric age group. Diagnosis requires high index of suspicion, and to rule out other causes of raised intracranial pressure. The treatment goal is to preserve optic nerve function while managing increased intracranial pressure. Optic nerve function should be carefully monitored with an assessment of visual acuity, color vision, field of vision and optic nerve head. Case characteristics: 13 year old adolescent girl weighing 45 kg presented in emergency with complaints of headache, fever and vomiting for 3 days. Fundus examination showed bilateral papilledema grade I. Opening pressure of CSF was raised but its cytological and biochemical assessment was normal. MRI ain showed prominence of subarachnoid space around bilateral optic nerve. The girl showed signs of rapid improvement with diuretics and was discharged. Resolution of papilledema was documented after 2 weeks.