Research Article


DOI :10.18017/iuitfd.382761   IUP :10.18017/iuitfd.382761    Full Text (PDF)

PRIMARY AND SECONDARY PSEUDOTUMOR CEREBRI SYNDROME IN CHILDHOOD: SYMPTOMS AND IMAGING FINDINGS

Gonca BektaşEdibe Pembegül YıldızTuğçe Aksu UzunhanNur AydınlıMeliha Mine ÇalışkanMeral Özmen

Objective: We aimed to define the demographic characteristics, referral symptoms, and neuroimaging findings in children with pseudotumor cerebri syndrome (PTCS) by comparing the differences between idiopathic intracranial hypertension (IIH) (primary PTSS) and secondary PTCS. Materials and Methods: We retrospectively evaluated the medical records and brain imaging findings of children with PTCS who were <18 years of age and were followed by the outpatient clinics of the Department of Child Neurology between January 2011 and January 2016. The children were categorized into two groups: (1) children with IIH and (2) children with secondary PTCS. Results: In total, 26 children were enrolled in the study; group 1 comprised 16 patients, and group 2 comprised 10 patients. In group 2, there were four patients with sinus venous thrombosis, one with autoimmune thyroiditis, one with hypothyroidism, one with Down syndrome, one with pituitary adenomas, and one with pregnancy related PTSS. One patient developed PTSS while receiving growth hormone therapy. At the time of admission, there was no statistically significant difference between the two groups in terms of age, prepubertal/postpubertal patient ratio, headache, double vision, visual disturbance/ loss and presence of nausea/vomiting (p > 0.05). Positive radiological findings were not statistically different between the two groups (p > 0.05). Conclusion: In children with PTSS, the symptoms at onset and brain imaging findings were found to be similar between primary and secondary PTSS.

DOI :10.18017/iuitfd.382761   IUP :10.18017/iuitfd.382761    Full Text (PDF)

ÇOCUKLUK ÇAĞINDA PRİMER VE SEKONDER PSÖDOTÜMÖR SEREBRİ SENDROMU-BAŞVURU SEMPTOMLARI VE BEYİN GÖRÜNTÜLEME BULGULARI

Gonca BektaşEdibe Pembegül YıldızTuğçe Aksu UzunhanNur AydınlıMeliha Mine ÇalışkanMeral Özmen

Amaç: Psödotümör serebri sendromu (PTSS) tanılı çocukların demografik özellikleri, başvuru semptomları ve görüntüleme bulgularını tanımlayarak idyopatik intrakranial hipertansiyon (İİH) (primer PTSS) ile sekonder PTSS arasındaki farkların saptanması amaçlandı. Gereç ve Yöntem: Ocak 2011 ile Ocak 2016 tarihleri arasında çocuk nörolojisi polikliniğinden PTSS tanısı ile takip edilmekte olan 18 yaşından küçük çocukların medikal kayıtları ve beyin görüntüleme bulguları geriye dönük olarak değerlendirildi. Çocuklar İİH tanılı olanlar ve sekonder PTSS gelişenler olmak üzere iki grupta incelendi. Bulgular: Çalışmaya 26 çocuk dahil edildi. Birinci grup 16, 2. grup 10 hastadan oluşuyordu. İkinci gruptaki hastaların 4’ünde sinüs ven trombozu, 1’inde otoimmün tiroidit, 1’inde hipotiroidi, 1’inde Down sendromu, 1’inde hipofiz adenomu, 1’inde gebelik ilişkili PTSS saptandı. Bir hastada ise büyüme hormonu tedavisi almakta iken PTSS gelişmişti. Başvuru anındaki yaş ortalamaları, prepubertal/postpubertal hasta oranı, baş ağrısı, çift görme, görme bulanıklığı/kaybı ve bulantı/ kusma varlığı açısından gruplar arasında istatiksel açıdan anlamlı fark saptanmadı (p>0,05). Pozitif radyolojik bulgu oranı iki grup arasında istatiksel olarak farklı değildi (p>0,05). Sonuç: PTSS saptanan çocuklarda başvuru şikayetleri ve beyin görüntüleme bulguları idyopatik olanlar ile sekonder PTSS gelişenler arasında benzer bulunmuştur. 


PDF View

References

  • 1. Standridge SM. Idiopathic intracranial hypertension in children: a review and algorithm. Pediatr Neurol 2010;43(6):377-90. google scholar
  • 2. Friedman DI, Liu GT, Digre KB. Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children. Neurology 2013;81(13):1159-65. google scholar
  • 3. Markey KA, Mollan SP, Jensen RH, Sinclair AJ. Understanding idiopathic intracranial hypertension: mechanisms, management, and future directions. Lancet Neurol 2016;15(1):78-91. google scholar
  • 4. Paley GL, Sheldon CA, Burrows EK, Chilutti MR, Liu GT, Mccormack SE. Overweight and obesity in pediatric secondary pseudotumor cerebri syndrome. Am J Ophthalmol 2015;159(2):344-52.e1. google scholar
  • 5. Görkem SB, Doğanay S, Canpolat M, Koc G, Dogan MS, Per H, et al. MR imaging findings in children with pseudotumor cerebri and comparison with healthy controls. Childs Nerv Syst 2015;31(3):373-80. google scholar
  • 6. Değerliyurt A, Teber S, Karakaya G, Güven A, Şeker ED, Arhan EP, et al. Pseudotumor cerebri/idiopathic intracranial hypertension in children: an experience of a tertiary care hospital. Brain Dev 2014;36(8):690-9. google scholar
  • 7. Per H, Canpolat M, Gümüş H, Poyrazoğlu HG, Yıkılmaz A, Karaküçük S, et al. Clinical spectrum of the pseudotumor cerebri in children: etiological, clinical features, treatment and prognosis. Brain Dev 2013;35:561-8. google scholar
  • 8. Babikian P, Corbett JJ, Bell W. Idiopathic intracranial hypertension in children: The Iowa experience. J Child Neurol 1994;9(2):144-9. 9. Balcer LJ, Liu GT, Forman S, Pun K, Volpe NJ, Galetta SL, et al. Idiopathic intracranial hypertension: relation of age and obesity in children. Neurology 1999;52(4):870-2. google scholar
  • 10. Tibussek D, Schneider DT, Vandemeulebroecke N, Turowski B, Messing-Juenger M, Willems PH, et al. Clinical spectrum of the pseudotumor cerebri complex in children. Childs Nerv Syst 2010;26(3):313-21. 11. Brara SM, Koebnick C, Porter AH, Langer-Gould A. Pediatric idiopathic intracranial hypertension and extreme childhood obesity. J Pediatr 2012;161(4):602-7. 12. Kesler A, Fattal-Valevski A. Idiopathic intracranial hypertension in the pediatric population. J Child Neurol 2002;17(10):745-8. 13. Sağlam H, Tarım Ö. Prevalence and correlates of obesity in school children from the city of Bursa, Turkey. J Clin Res Pediatr Endocrinol 2008;1(2):80-8. google scholar
  • 14. Glatstein MM, Oren A, Amarilyio G, Scolnik D, Tov AB, Yahav A, et al. Clinical characterization of idiopathic intracranial hypertension in children presenting to the emergency department: the experience of a large tertiary care pediatric hospital. Pediatr Emerg Care 2015;31(1):6-9. 15. Aylward SC, Aronowitz C, Reem R, Rogers D, Roach ES. Intracranial hypertension without headache in children. J Child Neurol 2015;30(6):703-6. 16. Hacifazlioglu Eldes N, Yilmaz Y. Pseudotumour cerebri in children: etiological, clinical features and treatment modalities. Eur J Paediatr Neurol 2012;16(4):349-55. 17. Rangwala LM, Liu GT. Pediatric idiopathic intracranial hypertension. Surv Ophthalmol 2007;52(6):597-617. 18. Phillips PH, Repka MX, Lambert SR. Pseudotumor cerebri in children. J AAPOS 1998;2(1):33-8. 19. Faz G, Butler IJ, Koenig MK. Incidence of papilledema and obesity in children diagnosed with idiopathic ‘’benign’’ intracranial hypertension: case series and review. J Child Neurol 2010;25(11):1389-92. google scholar
  • 20. Beri S, Gosalakkal JA, Hussain N, Balky AP, Parepalli S. Idiopathic intracranial hypertension without papilledema. Pediatr Neurol 2010;42(1):56-8. 21. Wall M, Kupersmith MJ, Kieburtz KD, Corbett JJ, Feldon SE, Friedman DI, et al. The idiopathic intracranial hypertension treatment trial. JAMA Neurol 2014;71(6):693-701. 22. Wall M, White WN. Asymmetric papilledema in idiopathic intracranial hypertension: prospective interocular comparison of sensory visual function 2nd. Invest Ophthalmol Vis Sci 1998;39(1):134-42. google scholar
  • 23. Degnan AJ, Levy LM. Pseudotumor cerebri: brief review of clinical syndrome and imaging findings. AJNR Am J Neuroradiol 2011;32(11):1986-93. google scholar

Citations

Copy and paste a formatted citation or use one of the options to export in your chosen format


EXPORT



APA

Bektaş, G., Pembegül Yıldız, E., Aksu Uzunhan, T., Aydınlı, N., Çalışkan, M.M., & Özmen, M. (2017). PRIMARY AND SECONDARY PSEUDOTUMOR CEREBRI SYNDROME IN CHILDHOOD: SYMPTOMS AND IMAGING FINDINGS. Journal of Istanbul Faculty of Medicine, 80(4), 146-152. https://doi.org/10.18017/iuitfd.382761


AMA

Bektaş G, Pembegül Yıldız E, Aksu Uzunhan T, Aydınlı N, Çalışkan M M, Özmen M. PRIMARY AND SECONDARY PSEUDOTUMOR CEREBRI SYNDROME IN CHILDHOOD: SYMPTOMS AND IMAGING FINDINGS. Journal of Istanbul Faculty of Medicine. 2017;80(4):146-152. https://doi.org/10.18017/iuitfd.382761


ABNT

Bektaş, G.; Pembegül Yıldız, E.; Aksu Uzunhan, T.; Aydınlı, N.; Çalışkan, M.M.; Özmen, M. PRIMARY AND SECONDARY PSEUDOTUMOR CEREBRI SYNDROME IN CHILDHOOD: SYMPTOMS AND IMAGING FINDINGS. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 80, n. 4, p. 146-152, 2017.


Chicago: Author-Date Style

Bektaş, Gonca, and Edibe Pembegül Yıldız and Tuğçe Aksu Uzunhan and Nur Aydınlı and Meliha Mine Çalışkan and Meral Özmen. 2017. “PRIMARY AND SECONDARY PSEUDOTUMOR CEREBRI SYNDROME IN CHILDHOOD: SYMPTOMS AND IMAGING FINDINGS.” Journal of Istanbul Faculty of Medicine 80, no. 4: 146-152. https://doi.org/10.18017/iuitfd.382761


Chicago: Humanities Style

Bektaş, Gonca, and Edibe Pembegül Yıldız and Tuğçe Aksu Uzunhan and Nur Aydınlı and Meliha Mine Çalışkan and Meral Özmen. PRIMARY AND SECONDARY PSEUDOTUMOR CEREBRI SYNDROME IN CHILDHOOD: SYMPTOMS AND IMAGING FINDINGS.” Journal of Istanbul Faculty of Medicine 80, no. 4 (May. 2024): 146-152. https://doi.org/10.18017/iuitfd.382761


Harvard: Australian Style

Bektaş, G & Pembegül Yıldız, E & Aksu Uzunhan, T & Aydınlı, N & Çalışkan, MM & Özmen, M 2017, 'PRIMARY AND SECONDARY PSEUDOTUMOR CEREBRI SYNDROME IN CHILDHOOD: SYMPTOMS AND IMAGING FINDINGS', Journal of Istanbul Faculty of Medicine, vol. 80, no. 4, pp. 146-152, viewed 20 May. 2024, https://doi.org/10.18017/iuitfd.382761


Harvard: Author-Date Style

Bektaş, G. and Pembegül Yıldız, E. and Aksu Uzunhan, T. and Aydınlı, N. and Çalışkan, M.M. and Özmen, M. (2017) ‘PRIMARY AND SECONDARY PSEUDOTUMOR CEREBRI SYNDROME IN CHILDHOOD: SYMPTOMS AND IMAGING FINDINGS’, Journal of Istanbul Faculty of Medicine, 80(4), pp. 146-152. https://doi.org/10.18017/iuitfd.382761 (20 May. 2024).


MLA

Bektaş, Gonca, and Edibe Pembegül Yıldız and Tuğçe Aksu Uzunhan and Nur Aydınlı and Meliha Mine Çalışkan and Meral Özmen. PRIMARY AND SECONDARY PSEUDOTUMOR CEREBRI SYNDROME IN CHILDHOOD: SYMPTOMS AND IMAGING FINDINGS.” Journal of Istanbul Faculty of Medicine, vol. 80, no. 4, 2017, pp. 146-152. [Database Container], https://doi.org/10.18017/iuitfd.382761


Vancouver

Bektaş G, Pembegül Yıldız E, Aksu Uzunhan T, Aydınlı N, Çalışkan MM, Özmen M. PRIMARY AND SECONDARY PSEUDOTUMOR CEREBRI SYNDROME IN CHILDHOOD: SYMPTOMS AND IMAGING FINDINGS. Journal of Istanbul Faculty of Medicine [Internet]. 20 May. 2024 [cited 20 May. 2024];80(4):146-152. Available from: https://doi.org/10.18017/iuitfd.382761 doi: 10.18017/iuitfd.382761


ISNAD

Bektaş, Gonca - Pembegül Yıldız, Edibe - Aksu Uzunhan, Tuğçe - Aydınlı, Nur - Çalışkan, MelihaMine - Özmen, Meral. PRIMARY AND SECONDARY PSEUDOTUMOR CEREBRI SYNDROME IN CHILDHOOD: SYMPTOMS AND IMAGING FINDINGS”. Journal of Istanbul Faculty of Medicine 80/4 (May. 2024): 146-152. https://doi.org/10.18017/iuitfd.382761



TIMELINE


Submitted01.12.2017
Accepted06.12.2017
Published Online20.12.2017

LICENCE


Attribution-NonCommercial (CC BY-NC)

This license lets others remix, tweak, and build upon your work non-commercially, and although their new works must also acknowledge you and be non-commercial, they don’t have to license their derivative works on the same terms.


SHARE




Istanbul University Press aims to contribute to the dissemination of ever growing scientific knowledge through publication of high quality scientific journals and books in accordance with the international publishing standards and ethics. Istanbul University Press follows an open access, non-commercial, scholarly publishing.