Insidious Craniosynostosis and Chronic Papilledema in Childhood

We studied a case of chronic papilledema in a 5-year-old child with visual loss who presented no obvious cosmetic abnormalities. Neuroradiologic investigations were suggestive of craniosynostosis. The child underwent decompressive cranial surgery. Postoperatively, the papilledema totally regressed,...

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Bibliographic Details
Published in:American journal of ophthalmology 1996-12, Vol.122 (6), p.910-911
Main Authors: Dollfus, Hélène, Vinikoff, Laurent, Renier, Dominique, Dufier, Jean-Louis
Format: Article
Language:English
Subjects:
Child, Preschool
Chronic Disease
Craniosynostoses - complications
Craniosynostoses - diagnostic imaging
Craniosynostoses - surgery
Female
Humans
Intracranial Pressure
Papilledema - etiology
Papilledema - physiopathology
Radiography
Skull - diagnostic imaging
Vision Disorders - etiology
Vision Disorders - physiopathology
Visual Acuity
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Summary:We studied a case of chronic papilledema in a 5-year-old child with visual loss who presented no obvious cosmetic abnormalities. Neuroradiologic investigations were suggestive of craniosynostosis. The child underwent decompressive cranial surgery. Postoperatively, the papilledema totally regressed, and visual acuity recovered to 20/20 in both eyes. The chronic papilledema was confirmed to be related to harmonious oxycephaly. Insidious craniosynostosis is an unusual cause of chronic papilledema in childhood. The papilledema may be resolved and visual loss prevented by surgery.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(14)70401-5