TY - JOUR
T1 - Complete bilateral ophthalmoplegia in malignant intracranial hypertension in a child
AU - Interlandi, Emanuela
AU - Pellegrini, Francesco
AU - De Luca, Marco
AU - Cerullo, Giovanni
AU - De Falco, Arturo
AU - De Marco, Rocco
AU - Tortori, Achille
AU - Lee, Andrew G.
N1 - Publisher Copyright:
© The Author(s) 2020.
PY - 2020/10/20
Y1 - 2020/10/20
N2 - Purpose: To describe a case of fulminant idiopathic intracranial hypertension (IIH) in a child with “malignant” presentation. Case report: A 16-year-old, previously healthy, girl presented with bilateral visual loss and bilateral global limitation of eye movements in the absence of headache. Extensive laboratory evaluation for infectious, inflammatory, autoimmune, and neoplastic conditions was negative. Magnetic resonance imaging (MRI) of the brain and lumbar puncture findings were consistent with a diagnosis of IIH. Extraocular motility improved in the next few days as well as optic disc edema but visual acuity remained poor. Conclusion: The authors believe that the acute, severe, and fulminant (“malignant”) presentation with markedly elevated intracranial pressure may produce the unique presentation of severe vision loss and bilateral complete ophthalmoplegia. Interestingly, there was no headache. To our knowledge this is the first such case to be reported in the English language ophthalmic literature.
AB - Purpose: To describe a case of fulminant idiopathic intracranial hypertension (IIH) in a child with “malignant” presentation. Case report: A 16-year-old, previously healthy, girl presented with bilateral visual loss and bilateral global limitation of eye movements in the absence of headache. Extensive laboratory evaluation for infectious, inflammatory, autoimmune, and neoplastic conditions was negative. Magnetic resonance imaging (MRI) of the brain and lumbar puncture findings were consistent with a diagnosis of IIH. Extraocular motility improved in the next few days as well as optic disc edema but visual acuity remained poor. Conclusion: The authors believe that the acute, severe, and fulminant (“malignant”) presentation with markedly elevated intracranial pressure may produce the unique presentation of severe vision loss and bilateral complete ophthalmoplegia. Interestingly, there was no headache. To our knowledge this is the first such case to be reported in the English language ophthalmic literature.
KW - Neuro imaging
KW - eye movement disorders
KW - neuro-ophthalmic disease
KW - neuro-ophthalmology
KW - ocular motility disorders
KW - optic neuropathy
KW - pediatric ophthalmology
KW - strabismus
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U2 - 10.1177/1120672120966562
DO - 10.1177/1120672120966562
M3 - Article
C2 - 33081535
AN - SCOPUS:85093859197
SN - 1120-6721
VL - 32
SP - NP24-NP27
JO - European Journal of Ophthalmology
JF - European Journal of Ophthalmology
IS - 2
ER -