특발성 두개 내 고혈압으로 진단된 비만 환아 1례
A Case of Childhood Idiopathic Intracranial Hypertension, Possibly Associated with Obesity
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초록
특발성 두개 내 고혈압은 두개 내에 구조적 이상이나 종양이 없이 두개 내압이 상승하여 두통, 구토, 박동성 이명, 복시 등의 증상을 보이는 질환이다. 원인으로는 호르몬 이상, 약물, 감염, 비만 등이 있고 특히 비만은 강한 영향을 줄 수 있는 인자이다. 우리나라 소아의 비만 인구는 증가하는 추세이며 따라서 소아에서 특발성 두개 내 고혈압의 발병률도 높아질 가능성이 크다. 진단이 늦어질 경우, 시력소실 등 나쁜 결과를 초래할 수 있으므로 특발성 두개 내 고혈압과 관련된 증상을 호소하는 비만한 소아에서 면밀한 경과관찰과 정확한 진단은 매우 중요하다. 비만이 원인으로 여겨지는 특발성 두개 내 고혈압 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Idiopathic intracranial hypertension(IIH), as known as pseudotumor cerebri, which commonly presents with headache, nausea, vomiting, pulsatile tinnitus, diplopia, arises from increased intracranial pressure although with no structural abnormality nor any mass in the intracranial cavity. Various factors including hormonal abnormalities, medication, infection and obesity are considered for causes of IIH, among which obesity shows a strong influence. As the incidence of obesity in children increases in Korea, prevalence of this disease is also likely to rise among children. We experienced a case of newly diagnosed IIH from an obese female child presenting with intermittent diplopia. We would like to report this case to alarm clinicians for considering IIH in obese child who consistently complains of symptoms related to IIH. Because belated diagnosis or negligence can be directly linked to poor prognosis, such as loss of eyesight, close observation and accurate diagnosis are critical for obese child with symptoms in relation to IIH.
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