Idiopathic Intracranial Hypertension and Facial Palsy: Case Report and Review of the Literature
| Autor: | Antigone Siamopoulou-Mavridou, Vasilios Grammeniatis, Anastasia K. Zikou, Maria Argyropoulou, Iliada Nakou, Meropi Tzoufi, Alexandros Makis, Ioannis Asproudis, Georgios Exarchakos |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Pseudotumor Cerebri/*complications/drug therapy medicine Humans Initial treatment Elevated Intracranial Pressure Cerebral venous sinus thrombosis Child Abducens nerve Pseudotumor Cerebri Palsy business.industry medicine.disease Surgery Venous thrombosis Treatment Outcome Pediatrics Perinatology and Child Health Prednisolone Facial Nerve Diseases/drug therapy/*etiology Female Neurology (clinical) Facial Nerve Diseases business Acetazolamide medicine.drug |
| Zdroj: | Journal of Child Neurology. 25:1529-1534 |
| ISSN: | 1708-8283 0883-0738 |
| DOI: | 10.1177/0883073810375849 |
| Popis: | We present the case of an 11-year-old obese girl who presented with idiopathic intracranial hypertension affecting first the lateral abducens nerve. She received acetazolamide, but 5 days later she developed lateral, peripheral facial palsy. Imaging evaluation was normal, which primarily excluded cerebral venous thrombosis and sustained the initial diagnosis. Despite some complicating factors (obesity, elevated intracranial pressure), prednisolone was administered for a short-term period to counteract the facial palsy. Ophthalmological residuals resolved within almost 1.5 months, while facial palsy receded after 4 months. Peripheral facial palsy is an extremely rare, but not unknown condition in idiopathic intracranial hypertension. As a symptom, it should be investigated thoroughly, primarily to exclude cerebral venous sinus thrombosis, before it can be attributed to idiopathic intracranial hypertension. As far as treatment is concerned, corticosteroids can be added to the initial treatment with acetazolamide, without worsening already elevated intracranial hypertension or ophthalmologic findings. |
| Databáze: | OpenAIRE |
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