Incidence and Demographics of Pediatric Intracranial Hypertension

Publication date: Available online 27 April 2017
Source:Pediatric Neurology
Author(s): Natalie Gillson, Charlotte Jones, Rachel E. Reem, David L. Rogers, Nicholas Zumberge, Shawn C. Aylward
ObjectiveTo report the incidence and demographic features of pediatric intracranial hypertension.MethodsInpatient and outpatient encounters of children aged 18 years or younger who were diagnosed with primary (idiopathic) or secondary intracranial hypertension between January 2010 and December 2013 were identified. Data was collected from a subspecialty clinic devoted to intracranial hypertension and the sole children's hospital in a large midwestern city of the United States. Estimated incidence rates were calculated based upon the number of newly diagnosed patients in our hospital's primary service area which includes seven central Ohio counties. Sex, race, BMI, socioeconomic status, and geographic distribution are also described.ResultsA total of 74 pediatric patients with intracranial hypertension were diagnosed (49 primary/idiopathic and 25 secondary) between January 2010 and December 2013. Using data from the Ohio Hospital Association's database, we were able to determine the pediatric population in our service area during the 3 year period. The database estimated that 92.3% of patients aged 0-17 years residing in the region sought care at our institution. The estimated annual incidence of primary and secondary intracranial hypertension was calculated at 0.63 and 0.32 per 100,000 children respectively.ConclusionWe found that the estimated annual incidence of pediatric primary intracranial hypertension in our 7 county service area in central Ohio is in line with previous pediatric reports from other countries and is 2/3 that reported in the US adult population.



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