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Case Reports 2018
Medical Case Reports
ISSN: 2471-8041
Page 26
May 28-29, 2018
London, UK
8
th
Edition of International Conference on
Clinical and Medical Case Reports
A
9-year-old girl was referred for urgent evaluation due to
sudden transient and recurrent right sided vision loss.
She had a normal neurology examination at presentation. She
underwent further investigations taking differential diagnosis
of unilateral vision loss. A lumbar puncture was performed
and diagnosis of idiopathic intracranial hypertension (IHT)
was established. IHT is a disorder characterized by raised
intracranial pressure of unknown aetiology and absence of
space occupying lesion. The diagnosis is done using modified
Dandy criteria. Common manifestations include headache,
diplopia, tinnitus and sometimes bilateral papilledema
with visual disturbances. Untreated cases may develop
blindness. There is still disagreement about diagnostic lumbar
puncture in children with unilateral transient vision loss. This
case highlights the concerns involved in diagnosis; early
management and long term follow up of such cases. Classical
IHT presents with bilateral papilledema with headache and or
with visual disturbances. Atypical or monocular involvement
as presenting feature of IHT needs to be included in differential
diagnosis. Long term follows up is needed to rule out other
potentially evolving causes of visual loss, especially in children.
Biography
Samarth Burle after completing core training in Pediatrics is starting Pe-
diatric Intensive Specialty Training at South West Deanery, UK. He is also
pursuing research in Clinical Education from Edinburgh University. His prior
training was in India where he completed fellowship in Intensive Care Medi-
cine. He has special interest in education, quality improvement and research
in cluster investigations
Samarth.burle@nhs.netRecurrent transient unilateral vision loss in a child –
diagnostic dilemma and management strategies
Samarth Burle
Yorkshire School of Paediatrics – NHS, UK
Samarth Burle, Med Case Rep. 2018, Volume 4
DOI:10.21767/2471-8041-C1-002