Pseudotumor Cerebri Syndrome in Children.

Adolescent Child Female Humans Male Pseudotumor Cerebri Syndrome
Adolescents Children Idiopathic intracranial hypertension Pseudotumor cerebri syndrome

Journal

Current pain and headache reports
ISSN: 1534-3081
Titre abrégé: Curr Pain Headache Rep
Pays: United States
ID NLM: 100970666

Informations de publication

Date de publication:
10 Jul 2019
Historique:
entrez: 12 7 2019
pubmed: 12 7 2019
medline: 11 1 2020
Statut: epublish

Résumé

Pseudotumor cerebri syndrome (PTCS) may affect both children and adults; however, the risk factors and clinical presentation vary greatly between these populations. This review aims to highlight the entity of PTCS in children and the unique considerations in this population; review the epidemiology and demographics; discuss the clinical presentation, revised diagnostic criteria, and approach to evaluation; review management strategies; and discuss the prognosis and long-term outcomes in children with PTCS. Clinical presentation can be variable in children and may be less obvious than in their adult counterparts. Papilledema can also be challenging to diagnose in this population. The upper limits for opening pressure on lumbar puncture differ in children, with a cut-off of 25 cm H20 (or 28 cm H2O in a sedated or obese child). Morbidity related to visual loss, pain and reduced quality of life lends urgency towards accurately identifying, evaluating and managing children with PTCS. There are no randomised controlled studies to allow for evidence-based recommendations for the management of PTCS in children. Further studies are needed to clarify and consolidate management approaches in this population.

Identifiants

DOI: 10.1007/s11916-019-0795-8 PMID: 31292773 PMC: PMC7335266
pubmed: 31292773
doi: 10.1007/s11916-019-0795-8
pii: 10.1007/s11916-019-0795-8
pmc: PMC7335266
mid: NIHMS1594019
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

58

Subventions

Organisme : NINDS NIH HHS
ID : K23 NS102521
Pays : United States

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Auteurs

Rebecca Barmherzig (R)

Division of Neurology, Women's College Hospital Centre for Headache, University of Toronto, Toronto, Canada.
Division of Neurology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Canada.

Christina L Szperka (CL)

Pediatric Headache Program, Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA. Szperka@email.chop.edu.
Department of Neurology, Perelman School of Medicine, University of Pennsylvania, CTRB 10019 3501 Civic Center Blvd., Philadelphia, PA, 19104, USA. Szperka@email.chop.edu.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adolescent › Pseudotumor Cerebri Syndrome in Children.
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Pseudotumor Cerebri Syndrome in Children.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Pseudotumor Cerebri Syndrome in Children.
questionsmedicales.fr › Maladies du système nerveux › Maladies du système nerveux central › Encéphalopathies › Hypertension intracrânienne › Syndrome d'hypertension intracrânienne bénigne › Pseudotumor Cerebri Syndrome in Children.
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Maladie › Syndrome › Pseudotumor Cerebri Syndrome in Children.