Abstract

Study design: Case report
Purpose: to study the efficacy of systemic steroid in pediatric pseudotumor cerebri
Methods: A 15 year old girl presented in our OPD with headache since 3months , more in the posterior aspect, continuous type with severe intensity, non-radiating. On examination, her BCVA in right eye was 6/9 and left eye was 6/6parts. She had normal anterior segment, normal IOP. Fundoscopy showed both optic discs edematous, pink in color with blurry disc margins, tortuous disc vessels, edematous peripapillary area. Rest of the retina was normal. She was started on oral prednisolone 1mg/kgbw once a day dosage, oral acetazolamide 250mg once a day, nepafenac 0.1% and timolol 0.5% eye drops twice a day.
Results: By the end of one month, patient was relieved of symptoms, best corrected visual acuity was 6/6 in both eyes with normal IOP, normal optic disc in both eyes.
Conclusion: Steroids are an effective way of managing idiopathic intracranial hypertension in pediatric patients.