Table of Contents

HK J Paediatr (New Series)
Vol 19. No. 1, 2014

HK J Paediatr (New Series) 2014;19:28-31

Case Report

Idiopathic Intracranial Hypertension in Children: Case Report andEstimation of Local Incidence
小兒原發性顱內高壓症:病例報告及本地發生率估計

WL Lau, CH Ko, WW Cheng, SK Yau, CY Lee


Abstract

Idiopathic intracranial hypertension (IIH) is a rare diseaseand local epidemiological data on childhood IIH is limited. Presenting symptomsare often nonspecific and may mimic migraine. We report an adolescent with IIHwho did not have classical predisposing risk factors. Annual incidence in HongKong is estimated to be 0.78 per 100,000 paediatric admissions to public hospitals.Enhanced awareness and prompt treatment is important as delayed diagnosis isassociated with high risk of permanent visual damage. Urgent surgical interventionis necessary for those who do not response to medical treatment.

原發性顱內高壓症是罕見的疾病,本地兒童原發性顱內高壓症的數據有限。臨床症狀經常是非特異性的,可與偏頭痛相似。我們報導患有原發性顱內高壓症的一名青少年,並沒有接觸過典型的危險致病因素。估計此症在香港公立醫院兒科住院的兒童的年發生率為0.78/100,000。提高醫護人員的警覺性和及時治療很重要,因為延誤診斷是導致視力永久缺損的高危因素。對於藥物治療無效的患兒,緊急手術處理是必需的。

Keyword : Idiopathic intracranial hypertension; Papilloedema; Pseudotumorcerebri

關鍵詞:原發性顱內高壓症、視乳頭水腫、假性腦瘤綜合徵

 
 

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