Secondary intracranial hypertension in aplastic anemia: A case report and review of current concepts

Autor: Adil Al-Musalami, Alaa Elmanzalawy, Yasser Wali, Anuradha Ganesh
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Oman Journal of Ophthalmology, Vol 14, Iss 3, Pp 190-195 (2021)
Druh dokumentu: article
ISSN: 0974-620X
DOI: 10.4103/ojo.ojo_79_21
Popis: Intracranial hypertension (IH) when detected mandates prompt and appropriate therapy to avoid permanent visual impairment. We report a 7-year-old boy who presented to the emergency services with purpuric rashes and bruises. Peripheral blood smear and bone marrow aspiration confirmed the diagnosis of aplastic anemia. During admission, the child developed headache, nausea, vomiting, and diplopia. Ophthalmic examination revealed intermittent esotropia and bilateral papilledema. The findings on neuroimaging and lumbar puncture led to the diagnosis of secondary IH (SIH). The intracranial pressure normalized on treatment with oral acetazolamide, oral furosemide, and intravenous dexamethasone.
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