Yasemin EREN, Naciye KABATAŞ, Neşe GÜNGÖR YAVAŞOĞLU, Selim Selçuk ÇOMOĞLU

Idiopathic intracranial hypertension without headache: A case report and literature review

This study reports the case of a 23-year-old man with idiopathic intracranial hypertension (IIH) who presented with blurred vision and diplopia, without accompanying headache. Although headache is the most common symptom associated with IIH, occasionally, it may not be observed clinically. This situation is more frequently observed in males, young adults, children, and in patients with low body mass index. This case highlights a crucial aspect; patients who present with serious visual symptoms without headache must be treated aggressively because vision loss will develop rapidly

Başağrısız idiopatik intrakranial hipertansiyon: Olgu sunumu ve literatürün gözden geçirilmesi

Bu yazıda başağrısı olmaksızın, bulanık görme ve diplopi ile presente olan, 23 yaşında erkek İdiopatik intrakranial hipertansiyon (İİH) olgusu bildirilmiştir. İHH’de başağrısı en sık görülen semptom olmasına rağmen, bazen klinik olarak görülmeyebilir.Bu durum daha çok erkeklerde gençler özellikle çocuklarda ve zayıf hastalarda tanımlanmıştır. Buradaki önemli nokta bu hastalar ciddi görsel bulgularla presente olmaktadırlar, bu nedenle agresif tedavi edilmelidirler.

PDF

___

Baykan B, Ekizoğlu E, Altıokka Uzun G. An update on the pathophysiology of idiopathic intracranial hypertension alias pseudotumor cerebri. Agri 2015;27(2):63–72.

Friedman DI, Liu GT, Digre KB. Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children. Neurology 2013;81(13):1159–65.

Mallery RM, Friedman DI, Liu GT. Headache and the pseudotumor cerebri syndrome. Curr Pain Headache Rep 2014;18(9):446.

Thurtell MJ, Bruce BB, Newman NJ, Biousse V. An update on idiopathic intracranial hypertension. Rev Neurol Dis 2010;7(2-3):e56–68.

Friedman DI. The pseudotumor cerebri syndrome. Neurol Clin 2014;32(2):363–96.

Bruce BB, Kedar S, Van Stavern GP, Monaghan D, Acierno MD, Braswell RA, et al. Idiopathic intracranial hypertension in men. Neurology 2009;72(4):304–9.

Lim M, Kurian M, Penn A, Calver D, Lin JP. Visual failure without headache in idiopathic intracranial hypertension. Arch Dis Child 2005;90(2):206–10.

Aylward SC, Aronowitz C, Reem R, Rogers D, Roach ES. Intracranial hypertension without headache in children. J Child Neurol 2015;30(6):703–6.

Besch D, Makowski C, Steinborn MM, Bonfig W, Sadowski B. Visual loss without headache in children with pseudotumor cerebri and growth hormone treatment. Neuropediatrics 2013;44(4):203–7.

Barnett M, Sinha MD, Morrison D, Lim M. Intracranial hypertension presenting with severe visual failure, without concurrent headache, in a child with nephrotic syndrome. BMC Pediatr 2013;13:167.