Idiopathic intracranial hypertension with altered consciousness in a Nigerian school girl: a case report and review of the literature

Idiopathic intracranial hypertension (IIH) is a clinical condition of increased intracranial pressure (ICP) without an obvious underlying pathological brain lesion. It is usually characterized by headache, neck pain, vomiting, visual disturbances, papilledema, cranial nerve palsy or a combination of...

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Bibliographic Details
Published inNigerian journal of paediatrics Vol. 39; no. 3; pp. 136 - 139
Main Authors Okposio M M, Abhulimhen-Iyoha BI
Format Journal Article
LanguageEnglish
Published Paediatric Association of Nigeria 01.07.2024
Subjects
adolescent girl
altered consciousness
idiopathic intracranial hypertension
nigeria
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Summary:Idiopathic intracranial hypertension (IIH) is a clinical condition of increased intracranial pressure (ICP) without an obvious underlying pathological brain lesion. It is usually characterized by headache, neck pain, vomiting, visual disturbances, papilledema, cranial nerve palsy or a combination of these signs and symptoms. The diagnosis of IIH is often made in a patient with intact consciousness. We present a teenager who developed altered consciousness while being treated for suspected meningitis and later found to have IIH. This case brings to the fore the need for a high index of suspicion even in situations where features appear atypical to avoid the unpleasant consequences of a misdiagnosis.
ISSN:0302-4660
2814-2985