PP77 : Causes of Papilloedema in Pediatric Age Group – A 7 Years Hospital Based Study in Northeastern India

Dr.Hiranmoyee Das

Purpose

To study the various causes of papilloedema in pediatric age group

Methods

120 cases of papilloedema from Jan 2009 to Dec 2016 were studied prospectively .Detailed history ,C/F, neuroimaging mostly CT Scan were done & followed upto 3 months.

Results

Cases were divided into 3 age grs. ( 0-3) yrs, (4-12) yrs and ( 13-18) yrs.

46.88% cases were Infection, 34.38% Space occupying lesion (SOL), 9.37% Otogenic intracranial complication & 9.37% Pseudotumor cerebri.Among infective group 26.04% tuberculosis, 12.5% viral, 6.25% bacterial and 2.08% of fungal etiology.Among SOL 12.5% tumours, 6.25% intracranial haematoma, 6.25% tuberculoma and 3.18% neurocysticercosis.

Earliest regression was at the end of 1month & maximum in infective gr.

Important findings were –

1.Tuberculosis( meningitis & tuberculoma), due to urban overcrowding & rural poverty.

2. Middle ear infection due to the higher altitude location of the region.

3. Neurocysticercosis due to the habit of taking smoked pork.