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Advances in evaluation and management of pediatric idiopathic intracranial hypertension


, : Advances in evaluation and management of pediatric idiopathic intracranial hypertension. Current Opinion in Ophthalmology 19(5): 391-397

Although the demographics of pediatric idiopathic intracranial hypertension have been well described, the best approaches to its management are less well defined. Recent advances in evaluation of optic nerve status make it easier to determine when and if more aggressive intervention is required. Medical and surgical approaches are discussed. Modern neuroimaging techniques are used to look for secondary causes of intracranial hypertension such as cerebral venous sinus thrombosis. Automated perimetry is now quicker to perform and is accepted as the gold standard in evaluating optic nerve defects, even in the pediatric population. Other newer techniques for assessing optic nerve injury include optical coherence tomography, laser scanning tomography, and spectral Doppler blood flow analysis of the optic nerve head. Medical management remains the first-line treatment, but increasingly, surgical interventions such as optic nerve sheath fenestration and cerebrospinal fluid shunting are used in the pediatric population. Pediatric intracranial hypertension patients may be followed with a greater degree of precision than in the past. Management tends to be similar to that used in adults, now including surgical intervention when indicated. The newer technologies allow us to gather data that may help to determine the optimal time for surgical intervention for those patients who require it.

US$19.90

PMID: 18772671

DOI: 10.1097/ICU.0b013e328309f1b6


Other references

Campa, M., 1983: Bacterial infections, immunity and reactive arthritides. Clinical and Experimental Rheumatology 1(3): 189-193

Gilbertson, C.B.; Nienaber, J.A., 1981: Evaluation of manure management effects on livestock. The effect is investigated of manure management, equipment and design on the animal environment and subsequently on animal performance. The pit or scraper system under slatted floors with an anaerobic lagoon was the least favourable method. The un...

Mohan, A.P.; Chakravarti, R.N., 1975: Serum and aortic lipid profiles in spontaneous and cholesterol-induced atherosclerosis in rhesus monkeys. Serum lipids and lipoproteins and various lipid fractions in the aorta were compared in spontaneously-occurring and cholesterol-induced atherosclerosis of rhesus monkeys. A group of 30 normal monkeys were also studied. Serum cholesterol, total pho...

Edgar, S.A.; Flanagan, C., 1979: Efficacy of Stenorol (halofuginone). III. for the control of coccidiosis in turkeys. Halofuginone at 3 ppm in the ration was tested against turkey coccidial infections caused by four species, in a series of eight battery trials of 16 days duration. The drug was evaluated against infections caused by Eimeria meleagrimitis, E. adeno...

Ahsan, M.Shahidul.; Maruyama, S.; Cheng, J.; Al-Eryani, K.; Yamazaki, M.; Hasegawa, M.; Tsuneki, M.; Saku, T., 2014: Acetic acid treatment for wrinkle-free oral mucosal epithelia in paraffin section preparation. For histopathological assessment of oral borderline malignancies, it is important to carefully detect subtle epithelial changes on fully stretched tissue sections. However, it is not generally easy to obtain wrinkle-free sections when using formal...

Osman, F.A.; Ragab, S.A., 1987: Anatomical studies on the renal blood vessels of donkey (Equus asinus). 35 kidneys from adult donkeys of both sexes were studied using corrosion casts, dissection and angiographs. The right renal artery divides into caudal, dorsal and ventral arteries, while the left renal artery divides into the cranial, dorsal and v...

Ochsenkuhn, K.M.; Ochsenkuhn Petropoulou, M.; Tsopelas, F.; Mendrinos, L., 2001: Separation of organotin compounds by ion-exchange chromatography and their determination by inverse voltammetry. An ion exchange procedure was developed for the enrichment, separation and quantification of butyltin and phenyltin species, which show very close half wave potentials by their voltammetric determination. As a case study the separation of dibutylt...

Alkeylani, A.; Mennett, R.; Aoun, G.; Gallagher, R.; Hammond, J.; Takata, H.; Underhill, D.; Low, H.; Mckay, R.; Boden, W., 2001: Off-pump coronary artery revascularization Relationship between Parsonnet score and outcomes. European Heart Journal 22(Abstract Supplement): 89, September

Perttu, K.L., 1995: Ecological, biological balances and conservation. The scientific work within the activity "ecological/biological balances and conservation" is summarized in this report. The aims of the activity during its existence between 1992 and 1994 have been to: i) arrange a workshop and publish t...

Dale, V.; Coulton, S.; Godfrey, C.; Copello, A.; Hodgson, R.; Heather, N.; Orford, J.; Raistrick, D.; Slegg, G.; Tober, G., 2012: Exploring treatment attendance and its relationship to outcome in a randomized controlled trial of treatment for alcohol problems: secondary analysis of the UK Alcohol Treatment Trial (UKATT). To identify client characteristics that predict attendance at treatment sessions and to investigate the effect of attendance on outcomes using data from the UK Alcohol Treatment Trial. Logistic regression was used to determine whether there were c...