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Fifteen-minute consultation: the child with idiopathic intracranial hypertension
  1. Mohamed O E Babiker1,
  2. Manish Prasad2,
  3. Stewart MacLeod1,
  4. Gabriel Chow3,
  5. William P Whitehouse3,4
  1. 1Fraser of Allander Neurosciences Unit, Royal Hospital of Sick Children, Glasgow, UK
  2. 2Department of Paediatrics, Pinderfield General Hospital, Wakefield, UK
  3. 3Department of Paediatric Neurology, Nottingham Children's Hospital, Nottingham University Hospitals NHS Trust, Nottingham, UK
  4. 4School of Medicine, University of Nottingham, Nottingham, UK
  1. Correspondence to Dr Mohamed Babiker, Department of Paediatric Neurology, Royal Hospital for Sick Children, Glasgow G3 8SJ, UK; mohamedbabiker{at}doctors.org.uk

Abstract

Idiopathic intracranial hypertension (IIH) is a rare condition where intracranial hypertension is found in the context of normal brain parenchyma and no mass lesion, ventriculomegaly, underlying infection, or malignancy. Our understanding of this condition has greatly improved in the recent years with neuroimaging features and normal values for lumbar puncture opening pressure now well defined. This article provides a review of IIH in children and revised diagnostic criteria based on recent evidence and published opinion. We have also presented an algorithmic approach to the child with possible IIH.

Keywords
  • Pseudotumour Cerebri
  • Benign Intracranial Hypertension
  • Cerebrospinal fluid
  • papilloedema

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