J Korean Child Neurol Soc.  2010 May;18(1):162-167.

A Case of Childhood Idiopathic Intracranial Hypertension, Possibly Associated with Obesity

Affiliations
  • 1Department of pediatrics, NHIC Ilsan Hospital, Goyang, Korea. agathac@nhimc.or.kr
  • 2Department of ophthalmology, NHIC Ilsan Hospital, Goyang, Korea.

Abstract

Idiopathic intracranial hypertension(IIH), as known as pseudotumor cerebri, which commonly presents with headache, nausea, vomiting, pulsatile tinnitus, diplopia, arises from increased intracranial pressure although with no structural abnormality nor any mass in the intracranial cavity. Various factors including hormonal abnormalities, medication, infection and obesity are considered for causes of IIH, among which obesity shows a strong influence. As the incidence of obesity in children increases in Korea, prevalence of this disease is also likely to rise among children. We experienced a case of newly diagnosed IIH from an obese female child presenting with intermittent diplopia. We would like to report this case to alarm clinicians for considering IIH in obese child who consistently complains of symptoms related to IIH. Because belated diagnosis or negligence can be directly linked to poor prognosis, such as loss of eyesight, close observation and accurate diagnosis are critical for obese child with symptoms in relation to IIH.

Keyword

Pseudotumor cerebri; Diplopia; Obesity
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