1. BARIATRIC SURGERY AS A TREATMENT FOR IDIOPATHIC INTRACRANIAL HYPERTENSION IN A MALE ADOLESCENT: CASE REPORT
- Author
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Marina Ybarra, Tiago Jeronimo dos Santos, Edjane Santos Queiroz, Ludmilla Rachid, Ruth Rocha Franco, Louise Cominato, Frederico Castelo Moura, Manoel Carlos Velhote, and Durval Damiani
- Subjects
Pseudotumor cerebri ,Obesity ,Bariatric surgery ,Adolescent ,Pediatrics ,RJ1-570 - Abstract
ABSTRACT Objective: To describe a case of a male adolescent with symptomatic idiopathic intracranial hypertension (IIH) associated with obesity treated with bariatric surgery. Case description: A 16-year-and-6-month-old severely obese boy [weight: 133.6 kg; height: 1.74 m (Z score: +0.14); BMI: 44.1 kg/m2 (Z score: +4.4)], Tanner pubertal stage 5, presented biparietal, high-intensity, and pulsatile headaches, about five times per week, associated with nocturnal awakenings, and partial improvement with common analgesics, for three months. Ophthalmologic evaluation evidenced bilateral papilledema. Cranial computed tomography revealed no mass or anatomic abnormalities. Lumbar puncture showed increased intracranial pressure of 40 cmH2O (reference value:
- Published
- 2020
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