Simultaneous papilledema and optic disc drusen in a child

Pediatric Neurology
Mustafa KomurCetin Okuyaz

Abstract

Idiopathic intracranial hypertension is a headache syndrome characterized by elevated intracranial pressure with normal cerebrospinal fluid content, normal cranial imaging, and elevated appearance of the optic disc. We report on a 6.5-year-old boy with complaints of headache and right esotropia causing diplopia. A lumbar puncture indicated an opening cerebrospinal fluid pressure of 28 cm H(2)O. The headache, diplopia, and esodeviation resolved after the lumbar puncture. However, at 2-week follow-up, the elevated appearance of the optic disc continued despite normal cerebrospinal fluid pressure. A second ophthalmologic consultation revealed optic disc drusen, as also demonstrated by ocular ultrasonography. To date, two such cases have been reported in the literature. To our knowledge, this patient is the youngest with coexisting optic disc drusen and idiopathic intracranial hypertension.

References

Nov 29, 2002·Neurology·Deborah I Friedman, Daniel M Jacobson
Dec 23, 2006·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·A MishraP S Baxter
Jan 28, 2009·Ophthalmic Genetics·Ayça SariNurcan Aras Ates
Jun 5, 2010·Archives of Disease in Childhood·C Y FongP E Jardine
Nov 26, 2010·Pediatric Neurology·Shannon M Standridge

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Citations

Feb 28, 2014·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Betty LiuMatthew D Smyth
Oct 31, 2016·Survey of Ophthalmology·Melinda Y Chang, Stacy L Pineles
Aug 4, 2015·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Jessica J KovarikDavid A Plager
Jun 2, 2014·Current Pain and Headache Reports·Aynur Ozge, Hayrunnisa Bolay
Jul 26, 2015·Neuroimaging Clinics of North America·Cynthia J KendallJade S Schiffman
Mar 4, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·James S McTaggartDeepa Krishnakumar
Dec 14, 2018·Neuro-ophthalmology·Edward PalmerAnthony P Wells
Jul 13, 2020·Archivos de la Sociedad Española de Oftalmología·H D Escobar GómezC Vélez Álvarez
Jun 8, 2021·Archivos De La Sociedad Española De Oftalmología·H D Escobar GómezC Vélez Álvarez

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