Fifteen-minute consultation: the child with idiopathic intracranial hypertension

Arch Dis Child Educ Pract Ed. 2014 Oct;99(5):166-72. doi: 10.1136/archdischild-2013-305818. Epub 2014 Mar 25.


Idiopathic intracranial hypertension (IIH) is a rare condition where intracranial hypertension is found in the context of normal brain parenchyma and no mass lesion, ventriculomegaly, underlying infection, or malignancy. Our understanding of this condition has greatly improved in the recent years with neuroimaging features and normal values for lumbar puncture opening pressure now well defined. This article provides a review of IIH in children and revised diagnostic criteria based on recent evidence and published opinion. We have also presented an algorithmic approach to the child with possible IIH.

Keywords: Benign Intracranial Hypertension; Cerebrospinal fluid; Pseudotumour Cerebri; papilloedema.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Female
  • Headache / diagnosis*
  • Headache / etiology
  • Headache / therapy*
  • Humans
  • Intracranial Hypertension / complications
  • Intracranial Hypertension / diagnosis*
  • Intracranial Hypertension / therapy*
  • Male
  • Pediatrics / methods*