Bilateral Papillo-oedema in a Paediatric Patient with a Cerebro-Renal Disorder 303-305
Dr. Deepa Muzumdar
F-5 Sankul, Erandawane, Pune - 411004
A 7-year-old boy, a known case of Polycystic Kidney Disease since birth, presented with an acute onset of headache and blurring of vision, and was discovered to have systemic hypertension of 140/110 mm Hg. Further examination revealed the presence of grade IV hypertensive retinopathy in both the eyes. MRI of the brain revealed diffuse cerebellar and cortical atrophy with a prominent ventricular system, which was indicative of a variant of the Dandy Walker Syndrome. Although there was initial improvement in the vision following the control of the blood pressure, the patient developed bilateral optic atrophy shortly thereafter. This case report highlights the occurrence of papillo-oedema with visual impairment in a cerebro renal disoder and also the importance of ophthalmic screening in paediatric patients.