Intracranial Hypertension Without Headache in Children

We aimed to determine the frequency of intracranial hypertension without headache in children. We retrospectively analyzed patients evaluated in a pediatric intracranial hypertension referral center. Patients were divided into 2 groups depending on whether they complained of headache at the time of...

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Bibliographic Details
Published in:Journal of child neurology 2015-05, Vol.30 (6), p.703-706
Main Authors: Aylward, Shawn C., Aronowitz, Catherine, Reem, Rachel, Rogers, David, Roach, E. Steve
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Body Mass Index
Cerebrospinal Fluid Pressure
Child
Child, Preschool
Female
Headache - etiology
Humans
Intracranial Hypertension - classification
Intracranial Hypertension - complications
Intracranial Hypertension - diagnosis
Intracranial Hypertension - physiopathology
Male
Papilledema - physiopathology
Retrospective Studies
Young Adult
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Summary:We aimed to determine the frequency of intracranial hypertension without headache in children. We retrospectively analyzed patients evaluated in a pediatric intracranial hypertension referral center. Patients were divided into 2 groups depending on whether they complained of headache at the time of presentation. Age, body mass index, and opening cerebrospinal fluid pressures were considered continuous variables and compared by Wilcoxon rank-sum test because of non-normality. A P value of .05 was considered significant. A total of 228 charts were reviewed; 152 patients met the criteria for intracranial hypertension and 22/152 patients (14.5%) met the criteria of optic nerve edema without headache. There were clinically significant differences in age and body mass index between the 2 groups. The group without headache was typically younger and not obese. The opening pressure and modified opening pressure were not clinically significant between the 2 groups.
ISSN:0883-0738
1708-8283
DOI:10.1177/0883073814540522