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Idiopathic intracranial hypertension: is papilloedema inevitable?
  1. E Wraige1,
  2. C Chandler2,
  3. K R E Pohl1
  1. 1Department of Paediatric Neurology, Guy’s Hospital, London, UK
  2. 2Department of Neurosurgery, King’s College Hospital, Denmark Hill, London, UK
  1. Correspondence to:
    Dr E Wraige, Department of Paediatric Neurology, Guy’s Hospital, London SE1 9RT, UK;


Headaches and papilloedema are key features of idiopathic (benign) intracranial hypertension (IIH). We describe three children in whom IIH was diagnosed in the absence of papilloedema. Recognition of atypical cases of IIH is important because pressure lowering treatment may be effective.

  • intracranial hypertension
  • papilloedema
  • CSF, cerebrospinal fluid
  • IIH, intracranial hypertension
  • MRI, magnetic resonance imaging

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