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KMID : 0391520100180010162
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Journal of the Korean Child Neurology Society
2010 Volume.18 No. 1 p.162 ~ p.167
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A Case of Childhood Idiopathic Intracranial Hypertension, Possibly Associated with Obesity
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Park So-Hyeon
Kim Hye-Young
Chung Hee-Jung
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Abstract
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Idiopathic intracranial hypertension(IIH), as known as pseudotumor cerebri, which commonly presents with headache, nausea, vomiting, pulsatile tinnitus, diplopia, arises from increased intracranial pressure although with no structural abnormality nor any mass in the intracranial cavity. Various factors including hormonal abnormalities, medication, infection and obesity are considered for causes of IIH, among which obesity shows a strong influence. As the incidence of obesity in children increases in Korea, prevalence of this disease is also likely to rise among children. We experienced a case of newly diagnosed IIH from an obese female child presenting with intermittent diplopia. We would like to report this case to alarm clinicians for considering IIH in obese child who consistently complains of symptoms related to IIH. Because belated diagnosis or negligence can be directly linked to poor prognosis, such as loss of eyesight, close observation and accurate diagnosis are critical for obese child with symptoms in relation to IIH.
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KEYWORD
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Pseudotumor cerebri, Diplopia, Obesity
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