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Intracranial Hypotension and Hypertension in Children and Adolescents

  • Childhood and Adolescent Headache (S Evers, Section Editor)
  • Published:
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Abstract

The specific aim of this review is to report the features of intracranial pressure changes [spontaneous intracranial hypotension (SIH) and idiopathic intracranial hypertension (IIH)] in children and adolescents, with emphasis on the presentation, diagnosis, and treatment modalities. Headache associated with intracranial pressure changes are relatively rare and less known in children and adolescents. SIH is a specific syndrome involving reduced intracranial pressure with orthostatic headache, frequently encountered connective tissue disorders, and a good prognosis with medical management, initial epidural blood patching, and sometimes further interventions may be required. IIH is an uncommon condition in children and different from the disease in adults, not only with respect to clinical features (likely to present with strabismus and stiff neck rather than headache or pulsatile tinnitus) but also different in outcome. Consequently, specific ICP changes of pediatric ages required specific attention both of exact diagnosis and entire management.

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Aynur Özge and Hayrunnisa Bolay declare that they have no conflicts of interest.

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  1. Department of Neurology, Mersin University School of Medicine, 33079, Mersin, Turkey

    Aynur Özge

  2. Department of Neurology, Neuropsychiatry Centre, Gazi University School of Medicine, Ankara, Turkey

    Hayrunnisa Bolay

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  1. Aynur Özge
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  2. Hayrunnisa Bolay
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Correspondence to Aynur Özge.

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This article is part of the Topical Collection on Childhood and Adolescent Headache

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Özge, A., Bolay, H. Intracranial Hypotension and Hypertension in Children and Adolescents. Curr Pain Headache Rep 18, 430 (2014). https://doi.org/10.1007/s11916-014-0430-7

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