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Raffaele Santinelli, MD; Carlo Tolone, MD; Roberto Toraldo, MD; Gianfranco Canino, MD; Alfredo De Simone, MD; Michele D'Avanzo, MD

Arch Neurol. 1998;55:854-856.

Objective  To describe a mother and her 2 sons affected by idiopathic intracranial hypertension (IIH), associated in the sons with root irritation symptom. Unlike the other 4 families reported previously, obesity was not present in our patients.

Design  Case reports.

Setting  Department of pediatrics in a university school of Medicine, Naples, Italy.

Patients  A mother (aged 36 years) and her 2 sons (aged 14 and 9 years) developed IIH at different times. Neuroimaging showed an empty sella in the mother, while IIH was associated with spinal and radicular pain in her 2 sons. The mother and the younger son developed permanent visual loss.

Conclusions  Ophthalmologic follow-up in our patients indicates that IIH is a chronic disease. Surgical treatment should be considered an option.

From the Department of Pediatrics, Second Pediatric Clinic, Second University of Naples, Naples, Italy.

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