{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T12:03:21Z","timestamp":1783771401384,"version":"3.55.0"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>In children, idiopathic intracranial hypertension (IIH) is relatively uncommon. It is characterized by an increase in intracranial pressure, in the absence of evidence of underlying brain disease, structural abnormalities, hydrocephalus, or abnormal meningeal improvement. However, very rarely it can occur without papilledema, even though it is the most recognizable clinical sign. Due to this, a delay in diagnosis can lead to severe visual impairments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>\n                      We describe a patient with a chronic headache but no papilledema. His neurological and systemic examinations were otherwise unremarkable. A lumbar puncture revealed a high opening pressure of 450\u2009mmH\n                      <jats:sub>2<\/jats:sub>\n                      O and normal cerebrospinal fluid (CSF) parameters. Magnetic resonance imaging of the brain revealed only tortuous optic nerves, no parenchymal lesions, and no evidence of venous sinus thrombosis. He required acetazolamide treatment. Our patient\u2019s symptoms improved significantly in 2\u2009months with medical treatment, weight loss, and exercise, with no development of papilledema.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is a wide range of clinical manifestations of IIH, making it difficult to decide when to begin treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11795476231158509","type":"journal-article","created":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T00:05:22Z","timestamp":1677542722000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["An Unusual Case of Headache in a Child: Idiopathic Intracranial Hypertension with Diagnostic Challenge"],"prefix":"10.1177","volume":"16","author":[{"given":"Youssef Ali M","family":"Alqahtani","sequence":"first","affiliation":[{"name":"Department of Child Health, College of Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Fahad","family":"Aljabri","sequence":"additional","affiliation":[{"name":"Neurology Division, Department of Pediatrics, Alhada Armed Forces Hospital, Taif, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Ahmed Mohammed","family":"Oshi","sequence":"additional","affiliation":[{"name":"Neurology Division, Department of Pediatrics, Alhada Armed Forces Hospital, Taif, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naglaa M","family":"Kamal","sequence":"additional","affiliation":[{"name":"Kasr Alainy Faculty of Medicine, Cairo University, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waleed","family":"Elhaj","sequence":"additional","affiliation":[{"name":"Neurology Division, Department of Pediatrics, Alhada Armed Forces Hospital, Taif, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara A","family":"Abosabie","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Charit\u00e9 Universit\u00e4tsmedizin Berlin, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salma AS","family":"Abosabie","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Julius-Maximilians-Universit\u00e4t W\u00fcrzburg, Bavaria, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,27]]},"reference":[{"key":"bibr1-11795476231158509","first-page":"9","volume":"1","author":"Headache Classification Subcommittee of the International Headache Society. 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