Graves’ disease in an adolescent presenting with increased intracranial pressure and bilateral papilledema
Increased intracranial pressure (ICP) can present with symptoms of headache, vomiting, visual changes, and tinnitus. Papilledema may be seen on physical exam. Thyroid disease has been a rare secondary cause of increased ICP. We present a 16-year-old female who had a worsening headache for 6 months....
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Bioscientifica
2022-04-01
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| Series: | Endocrinology, Diabetes & Metabolism Case Reports |
| Online Access: | https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM22-0240.xml |
| _version_ | 1818271762796773376 |
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| author | Jay Nguyen Dennis Joseph |
| author_facet | Jay Nguyen Dennis Joseph |
| author_sort | Jay Nguyen |
| collection | DOAJ |
| description | Increased intracranial pressure (ICP) can present with symptoms of headache, vomiting, visual changes, and tinnitus. Papilledema may be seen on physical exam. Thyroid disease has been a rare secondary cause of increased ICP. We present a 16-year-old female who had a worsening headache for 6 months. She was found to have signs, symptoms, physical exam findings, and diagnostic studies consistent with both increased ICP and previously undiagnosed Graves’ disease. The patient was treated with a 19-month course of methimazole 40 mg daily. Her headache and papilledema resolved shortly after medication initiation. The timeline of symptoms and resolution of her increased ICP symptoms with treatment of Graves’ disease suggests that hyperthyroidism was the underlying cause of her increased ICP. Clinicians should consider Graves’ disease as the etiology in pediatric patients presenting with signs and symptoms of increased ICP with papilledema. |
| first_indexed | 2024-12-12T21:31:20Z |
| format | Article |
| id | doaj.art-50baa93d602b4022a7b2c9dcfd732a77 |
| institution | Directory Open Access Journal |
| issn | 2052-0573 |
| language | English |
| last_indexed | 2024-12-12T21:31:20Z |
| publishDate | 2022-04-01 |
| publisher | Bioscientifica |
| record_format | Article |
| series | Endocrinology, Diabetes & Metabolism Case Reports |
| spelling | doaj.art-50baa93d602b4022a7b2c9dcfd732a772022-12-22T00:11:19ZengBioscientificaEndocrinology, Diabetes & Metabolism Case Reports2052-05732022-04-01111310.1530/EDM-22-0240Graves’ disease in an adolescent presenting with increased intracranial pressure and bilateral papilledemaJay Nguyen0Dennis Joseph1Lincoln Memorial University-DeBusk College of Osteopathic Medicine, Harrogate, Tennessee, USAEndocrinology Center of Lake Cumberland, Somerset, Kentucky, USAIncreased intracranial pressure (ICP) can present with symptoms of headache, vomiting, visual changes, and tinnitus. Papilledema may be seen on physical exam. Thyroid disease has been a rare secondary cause of increased ICP. We present a 16-year-old female who had a worsening headache for 6 months. She was found to have signs, symptoms, physical exam findings, and diagnostic studies consistent with both increased ICP and previously undiagnosed Graves’ disease. The patient was treated with a 19-month course of methimazole 40 mg daily. Her headache and papilledema resolved shortly after medication initiation. The timeline of symptoms and resolution of her increased ICP symptoms with treatment of Graves’ disease suggests that hyperthyroidism was the underlying cause of her increased ICP. Clinicians should consider Graves’ disease as the etiology in pediatric patients presenting with signs and symptoms of increased ICP with papilledema.https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM22-0240.xml |
| spellingShingle | Jay Nguyen Dennis Joseph Graves’ disease in an adolescent presenting with increased intracranial pressure and bilateral papilledema Endocrinology, Diabetes & Metabolism Case Reports |
| title | Graves’ disease in an adolescent presenting with increased intracranial pressure and bilateral papilledema |
| title_full | Graves’ disease in an adolescent presenting with increased intracranial pressure and bilateral papilledema |
| title_fullStr | Graves’ disease in an adolescent presenting with increased intracranial pressure and bilateral papilledema |
| title_full_unstemmed | Graves’ disease in an adolescent presenting with increased intracranial pressure and bilateral papilledema |
| title_short | Graves’ disease in an adolescent presenting with increased intracranial pressure and bilateral papilledema |
| title_sort | graves disease in an adolescent presenting with increased intracranial pressure and bilateral papilledema |
| url | https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM22-0240.xml |
| work_keys_str_mv | AT jaynguyen gravesdiseaseinanadolescentpresentingwithincreasedintracranialpressureandbilateralpapilledema AT dennisjoseph gravesdiseaseinanadolescentpresentingwithincreasedintracranialpressureandbilateralpapilledema |