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DOI: 10.1055/s-0038-1629220
Idiopathische intrakranielle Hypertension im Kindes- und Jugendalter interdisziplinär
Paediatric idiopathic, intracranial hypertensionAn interdisciplinary approachPublication History
Eingereicht am: 17 April 2014
angenommen am: 28 April 2014
Publication Date:
27 January 2018 (online)
Zusammenfassung
Das Verständnis um das Krankheitsbild des Pseudotumor cerebri hat sich in den letzten Jahren insbesondere im pädiatrischen Be-reich sehr erweitert und geändert, dennoch ist die Ätiologie des nun als idiopathische, intrakranielle Hypertension (IIH) bezeichneten Krankheitsbildes unklar. Das Risiko eines permanenten Visusverlustes erfordert speziell im Kindesalter eine rasche und erfahrene inter-disziplinäre Abklärung und ein konsistentes Management von Therapie und Verlaufsevaluation. Prospektive, kollektive Daten sollen das Verständnis der Pathophysiologie, Epidemiologie und der Risikofaktoren der pädiatrischen IIH verbessern und einen Konsens zu diagnostischen und therapeutischen Empfehlungen ermöglichen.
Summary
This update on paediatric idiopathic intracranial hypertension (IIH) focuses on epidemiology, pathophysiology, clinical presentation, neuro-ophthalmological evaluation resp. follow up and therapeutic options. Unknown pathophysiology and a high percentage of secondary presentations of this entity bearing the high risk for a permanent visual loss call for a prompt and collaborative approach to evaluation and management especially in young patients. Collective, prospective data will improve further understanding of pathophysiology, epidemiology and risk factors of paediatric IHH and result in diagnostic and therapeutic recommendations.
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