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CASE REPORT
Year : 2021  |  Volume : 14  |  Issue : 3  |  Page : 190-195

Secondary intracranial hypertension in aplastic anemia: A case report and review of current concepts


1 Ophthalmology Program, Oman Medical Specialty Board, Muscat, Oman
2 Department of Radiology, Sultan Qaboos University Hospital, Muscat, Oman
3 Department of Pediatric Hematology, Sultan Qaboos University Hospital, Muscat, Oman
4 Department of Ophthalmology, Sultan Qaboos University Hospital, Muscat, Oman

Correspondence Address:
Dr. Adil Al-Musalami
R5, Ophthalmology Resident, OMSB
Oman
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.ojo_79_21

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Intracranial hypertension (IH) when detected mandates prompt and appropriate therapy to avoid permanent visual impairment. We report a 7-year-old boy who presented to the emergency services with purpuric rashes and bruises. Peripheral blood smear and bone marrow aspiration confirmed the diagnosis of aplastic anemia. During admission, the child developed headache, nausea, vomiting, and diplopia. Ophthalmic examination revealed intermittent esotropia and bilateral papilledema. The findings on neuroimaging and lumbar puncture led to the diagnosis of secondary IH (SIH). The intracranial pressure normalized on treatment with oral acetazolamide, oral furosemide, and intravenous dexamethasone.


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