March 3, 2026Open Access

A case report: Pediatric Idiopathic Intracranial Hypertension

Key Points

Headaches improved significantly after treatment with a carbonic anhydrase inhibitor, leading to symptom relief.
Magnetic resonance imaging and magnetic resonance venography showed no issues in cerebral venous sinuses.
Lumbar puncture indicated elevated cerebrospinal fluid opening pressure, confirming intracranial hypertension diagnosis.
Complete resolution of papilledema was noted one month after initiating treatment, highlighting effective intervention.

Abstract

A 6-year-old girl presented with headache and binocular diplopia for one month. There were signs of papilledema and sixth nerve paresis. Magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) brain revealed no stenosis of cerebral venous sinuses. A lumbar puncture (LP) revealed elevated cerebrospinal fluid (CSF) opening pressure. The cytological analysis of the CSF was otherwise within normal limits. The patient was treated with a carbonic anhydrase inhibitor and her headaches have improved. One month later, papilledema was completely resolved.

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Authors

Suntaree Thitiwichienlert

Kornkanok Saksritawee

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A case report: Pediatric Idiopathic Intracranial Hypertension

Key Points

Abstract

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