Abstract
The syndrome of pseudotumor cerebri consists of headaches, difficulty with vision and papilledema associated with raised intracranial pressure (ICP) without localizing neurological mass lesions. Recently, an association of pseudotumor cerebri and renal insufficiency, chronic dialysis or renal transplantation has been noted. Loss of vision remains a serious threat in children with pseudotumor cerebri. We report two children who developed pseudotumor cerebri with impairment of vision 5 years after renal transplantation. An awareness of this association should prompt the nephrologist to investigate and treat the symptoms of raised ICP to prevent visual loss.
References
Corbett JJ, Melta MP (1983) Cerebrospinal fluid pressure in normal obese subjects and patients with pseudotumor cerebri. Neurology 33: 1386–1388
Baker RS, Baumann RJ, Buncic JR (1989) Idiopathic intracranial hypertension (pseudotumor cerebri) in pediatric patients. Pediatr Neurol 5:5–11
Orcutt JC, Page NGR, Sanders MD (1984) Factors affecting visual loss in benign intracranial hypertension. Ophthalmology 91: 1303–1312
Couch R, Camfield PR, Tibbles JAR (1985) The changing picture of pseudotumor cerebri in children. Can J Neurol Sci 12:48–50
Neville BGR, Wilson J (1970) Benign intracranial hypertension following corticosteroid withdrawal in childhood. BMJ 3:554–556
Lander CM (1989) Minocycline-induced benign intracranial hypertension. Clin Exp Neurol 26:161–167
Cohen DN (1973) Intracranial hypertension and papilledema associated with nalidixic acid therapy. Am J Ophthalmol 76:680–682
Winrow AP, Subramaniam G (1990) Benign intracranial hypertension after ciprofloxacin. Arch Dis Child 65:1165–1166
Guy J, Johnston PK, Corbett JJ, Day AL, Glaser JS (1990) Treatment of visual loss in pseudotumor cerebri associated with uremia. Neurology 40:28–32
Noetzel MJ, Rioux SD (1986) Pseudotumor cerebri associated with obstructive nephropathy. Pediatr Neurol 2:238–240
Lessell S, Rosman NP (1986) Permanent visual impairment in childhood pseudotumor cerebri. Arch Neurol 43:801–804
Weisberg LA, Chutorian AM (1977) Pseudotumor cerebri of childhood. Am J Dis Child 131:1243–1248
Eisenberg HM, Davidson RI, Shillito J (1971) Lumboperitoneal shunts review of 34 cases. J Neurosurg 35:427–431
Rosenberg M, Smith C, Beck R (1989) The efficacy of shunting procedures in pseudotumor cerebri (abstract). Neurology 39 [Suppl 1]:209
Keltner JL (1988) Optic nerve sheath decompression: how does it work? Arch Ophthalmol 106:1365–1369
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sheth, K.J., Kivlin, J.D., Leichter, H.E. et al. Pseudotumor cerebri with vision impairment in two children with renal transplantation. Pediatr Nephrol 8, 91–93 (1994). https://doi.org/10.1007/BF00868279
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00868279