Secondary intracranial hypertension in aplastic anemia: A case report and review of current concepts

Adil Al Musalami, Alaa Elmanzalawy, Yasser Wali, Anuradha Ganesh

Research output: Contribution to journalReview articlepeer-review

Abstract

Intracranial hypertension (IH) when detected mandates prompt and appropriate therapy to avoid permanent visual impairment. We report a 7-year-old boy who presented to the emergency services with purpuric rashes and bruises. Peripheral blood smear and bone marrow aspiration confirmed the diagnosis of aplastic anemia. During admission, the child developed headache, nausea, vomiting, and diplopia. Ophthalmic examination revealed intermittent esotropia and bilateral papilledema. The findings on neuroimaging and lumbar puncture led to the diagnosis of secondary IH (SIH). The intracranial pressure normalized on treatment with oral acetazolamide, oral furosemide, and intravenous dexamethasone.

Original languageEnglish
Pages (from-to)190-195
Number of pages6
JournalOman Journal of Ophthalmology
Volume14
Issue number3
DOIs
Publication statusPublished - Sep 1 2021
Externally publishedYes

Keywords

  • Aplastic anemia
  • idiopathic intracranial hypertension
  • intracranial hypertension
  • papilledema
  • secondary intracranial hypertension

ASJC Scopus subject areas

  • Ophthalmology

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