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Sensitivity of Papilledema as a Sign of Increased Intracranial Pressure

Our study evaluates the sensitivity of papilledema as a sign of high intracranial pressure in children. Patients younger than 18 years old, diagnosed with increased ICP, and who had received dilated fundus examination between 2019 and 2021 were retrospectively reviewed. Factors including the patient...

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Autores principales: Krahulik, David, Hrabalek, Lumir, Blazek, Filip, Halaj, Matej, Slachta, Marek, Klaskova, Eva, Maresova, Klara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10136908/
https://www.ncbi.nlm.nih.gov/pubmed/37189972
http://dx.doi.org/10.3390/children10040723
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author Krahulik, David
Hrabalek, Lumir
Blazek, Filip
Halaj, Matej
Slachta, Marek
Klaskova, Eva
Maresova, Klara
author_facet Krahulik, David
Hrabalek, Lumir
Blazek, Filip
Halaj, Matej
Slachta, Marek
Klaskova, Eva
Maresova, Klara
author_sort Krahulik, David
collection PubMed
description Our study evaluates the sensitivity of papilledema as a sign of high intracranial pressure in children. Patients younger than 18 years old, diagnosed with increased ICP, and who had received dilated fundus examination between 2019 and 2021 were retrospectively reviewed. Factors including the patient’s age, sex, aetiology, duration of signs or symptoms, intracranial pressure (ICP), and presence of papilledema were evaluated. We included 39 patients in this study, whose mean age was 6.7 years. The 31 patients without papilledema had a mean age of 5.7 years, and 8 patients (20%) with papilledema had a mean age of 10.4 (p < 0.037). The mean duration of signs or symptoms was nine weeks in patients without papilledema and seven weeks in those with papilledema (p = 0.410). The leading causes of increased ICP with papilledema were supratentorial tumor (12.5%), infratentorial tumor (33.3%), and hydrocephalus (20%) (p = 0.479). Papilledema was statistically significantly more common in older patients. We found no statistical significance between sex, diagnosis, and symptoms. The relatively low incidence of papilledema (20%) in our study shows that papilledema’s absence does not ensure the absence of increased ICP, especially in younger patients.
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spelling pubmed-101369082023-04-28 Sensitivity of Papilledema as a Sign of Increased Intracranial Pressure Krahulik, David Hrabalek, Lumir Blazek, Filip Halaj, Matej Slachta, Marek Klaskova, Eva Maresova, Klara Children (Basel) Article Our study evaluates the sensitivity of papilledema as a sign of high intracranial pressure in children. Patients younger than 18 years old, diagnosed with increased ICP, and who had received dilated fundus examination between 2019 and 2021 were retrospectively reviewed. Factors including the patient’s age, sex, aetiology, duration of signs or symptoms, intracranial pressure (ICP), and presence of papilledema were evaluated. We included 39 patients in this study, whose mean age was 6.7 years. The 31 patients without papilledema had a mean age of 5.7 years, and 8 patients (20%) with papilledema had a mean age of 10.4 (p < 0.037). The mean duration of signs or symptoms was nine weeks in patients without papilledema and seven weeks in those with papilledema (p = 0.410). The leading causes of increased ICP with papilledema were supratentorial tumor (12.5%), infratentorial tumor (33.3%), and hydrocephalus (20%) (p = 0.479). Papilledema was statistically significantly more common in older patients. We found no statistical significance between sex, diagnosis, and symptoms. The relatively low incidence of papilledema (20%) in our study shows that papilledema’s absence does not ensure the absence of increased ICP, especially in younger patients. MDPI 2023-04-14 /pmc/articles/PMC10136908/ /pubmed/37189972 http://dx.doi.org/10.3390/children10040723 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Krahulik, David
Hrabalek, Lumir
Blazek, Filip
Halaj, Matej
Slachta, Marek
Klaskova, Eva
Maresova, Klara
Sensitivity of Papilledema as a Sign of Increased Intracranial Pressure
title Sensitivity of Papilledema as a Sign of Increased Intracranial Pressure
title_full Sensitivity of Papilledema as a Sign of Increased Intracranial Pressure
title_fullStr Sensitivity of Papilledema as a Sign of Increased Intracranial Pressure
title_full_unstemmed Sensitivity of Papilledema as a Sign of Increased Intracranial Pressure
title_short Sensitivity of Papilledema as a Sign of Increased Intracranial Pressure
title_sort sensitivity of papilledema as a sign of increased intracranial pressure
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10136908/
https://www.ncbi.nlm.nih.gov/pubmed/37189972
http://dx.doi.org/10.3390/children10040723
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