“Benign” Intracranial Hypertension and Polyradiculitis — Two Varieties of One Disease?
In our experience with 20 children who had polyradiculitis type Guillain-Barré syndrome (GBS) and 2 children who had “benign” intracranial hypertension (BIH) we found neurological sequelae in 3 out of 13 followed patients with GBS and full recovery of the 2 children with BIH. Those patients who had slow involution of the disease were monitored by threshold vibrometry and we used mannitol and Collagenan successively. In our discussion we suggest some striking similarities between the two conditions: (1) GBS and BIH are generally expressed 1–3 weeks after viral infection and both regress after treatment in the majority of patients; (2) Both conditions have similar pathogenic mechanisms; (3) Some patients with GBS also demonstrate papillaedema which may be interpreted as a sign of analogy between the two conditions. The advantage of regarding the conditions as analogous is that therapy would be better monitored. The experience of the neurosurgons who generally first confront BIH can be enriched by experience of the neurologists and pediatricians who treat patients with GBS.
Keywords“Benign” intracranial hypertension Polyradiculitis Impaired CSF absorption Monitoring of treatment
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