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Idiopathic intracranial hypertension: is papilloedema inevitable?

¹ Department of Paediatric Neurology, Guy’s Hospital, London, UK
² Department of Neurosurgery, King’s College Hospital, Denmark Hill, London, UK

Correspondence to:
Correspondence to:
Dr E Wraige, Department of Paediatric Neurology, Guy’s Hospital, London SE1 9RT, UK;
Elizabeth{at}wraige.demon.co.uk

ABSTRACT
Headaches and papilloedema are key features of idiopathic (benign) intracranial hypertension (IIH). We describe three children in whom IIH was diagnosed in the absence of papilloedema. Recognition of atypical cases of IIH is important because pressure lowering treatment may be effective.

Keywords: intracranial hypertension; papilloedema

Abbreviations: CSF, cerebrospinal fluid; IIH, intracranial hypertension; MRI, magnetic resonance imaging

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