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Thus, if there is a question of papilledema on fundoscopic examination or if the optic disc cannot be adequately visualized, ultrasound can be used to rapidly assess for increased intracranial pressure and help direct further evaluation and intervention. Unilateral papilledema can suggest a disease in the eye itself, such as an optic nerve glioma.
In children, a low heart rate is especially suggestive of high ICP. [ citation needed ] Intracranial hypertension syndrome is characterized by an elevated ICP, papilledema , and headache with occasional abducens nerve paresis , absence of a space-occupying lesion or ventricular enlargement, and normal cerebrospinal fluid chemical and ...
In patients with headaches, the finding of swollen optic discs (papilledema) on ophthalmoscopy is a key sign indicating raised intracranial pressure, which may be due to conditions such as hydrocephalus, benign intracranial hypertension (pseudotumor cerebri), and brain tumors. In glaucoma, cupped optic discs are seen.
In children, optic disc drusen are usually buried and undetectable by fundoscopy except for a mild or moderate elevation of the optic disc. With age, the overlying axons become atrophied and the drusen become exposed and more visible. They may become apparent with an ophthalmoscope and some visual field loss at the end of adolescence. [7]
Retinal hemorrhage is strongly associated with child abuse in infants and young children [3] and often leaves such abused infants permanently blind. In older children and adults, retinal hemorrhage can be caused by several medical conditions such as hypertension , retinal vein occlusion (a blockage of a retinal vein), anemia , leukemia or ...
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Hypothalamic dysfunction may also result in problems with feeding, sleep, and body temperature regulation. Feeding behaviors in children with ONH often include hyperphagia (overeating), resulting in obesity; or hypophagia (reduced food intake) with or without weight loss. Children also frequently experience aversion to specific textures of food.
Foster Kennedy syndrome is a constellation of findings associated with tumors of the frontal lobe. [1]Although Foster Kennedy syndrome is sometimes called "Kennedy syndrome", [2] it should not be confused with Kennedy disease, or spinal and bulbar muscular atrophy, which is named after William R. Kennedy.