Pseudopapilledema in a pediatric kidney transplant recipient

Pediatr Transplant. 2010 Nov;14(7):E83-5. doi: 10.1111/j.1399-3046.2009.01165.x. Epub 2010 Aug 5.

Abstract

IIH is a syndrome of increased intracranial pressure characterized by headache, visual disturbance, papilledema with normal cranial neuroimaging. It is associated with many factors in childhood. From the renal perspective renal insufficiency, chronic dialysis, steroid treatment, and recombinant human growth hormone have been associated with IIH. It has also been described in pediatric recipients several months to years following kidney transplantation. In this study, we present a pediatric kidney transplant recipient receiving CyA, prednisone, and mycophenolate mofetil who was discovered to have pseudopapilledema during routine ophthalmological examination. He had no additional signs of increased intracranial pressure. Awareness of possible side effects in the follow-up of these patients may improve management of these children.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Angiography / methods
  • Antibodies, Monoclonal / administration & dosage
  • Basiliximab
  • Cyclosporine / administration & dosage
  • Humans
  • Kidney Failure, Chronic / complications*
  • Kidney Failure, Chronic / therapy
  • Kidney Transplantation / adverse effects*
  • Living Donors
  • Male
  • Mycophenolic Acid / administration & dosage
  • Mycophenolic Acid / analogs & derivatives
  • Papilledema / complications
  • Papilledema / diagnosis*
  • Papilledema / etiology*
  • Prednisone / administration & dosage
  • Pseudotumor Cerebri / complications
  • Pseudotumor Cerebri / diagnosis
  • Pseudotumor Cerebri / etiology
  • Recombinant Fusion Proteins / administration & dosage
  • Syndrome

Substances

  • Antibodies, Monoclonal
  • Recombinant Fusion Proteins
  • Cyclosporine
  • Basiliximab
  • Mycophenolic Acid
  • Prednisone

Supplementary concepts

  • Idiopathic intracranial hypertension with papilledema