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Obstructive Sleep Apnea and Pseudotumor Cerebri in a Young Girl
Author(s) -
Kalyoussef Evelyne,
Bhatt Amit,
Quraishi Huma,
Frohman Leonard,
Turbin Roger
Publication year - 2011
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.22092
Subject(s) - medicine , medical school , sleep medicine , obstructive sleep apnea , otorhinolaryngology , ophthalmology , general surgery , surgery , medical education , psychiatry , sleep disorder , cognition
Methods: We present a case report of a nine year old obese female who presented to us with severe intractable pseudotumor cerebri, also known as Idiopathic Intracranial Hypertension (IIH). The patient had multiple ER visits and hospital admissions for headaches and diplopia related to her IIH. She was followed by the ophthalmology service for papilledema and had undergone treatment with acetazolamide with minimal improvement in her symptoms. The patient was also found to have obstructive sleep apnea, with an RDI of 21 events per hour. Despite maximal medical therapy, the patient continued to complain of severe headaches and visual difficulties. A literature search was performed and an association between IIH and OSA was identified. In an effort to improve her symptoms, an adenotonsillectomy was performed.