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Paediatric Idiopathic Intracranial Hypertension in Wales: A Retrospective Observational Study

Lookup NU author(s): Dr Kathryn Bush

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© The Author(s) 2026. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). This study measures the incidence and prevalence of idiopathic intracranial hypertension (IIH) in children in Wales and assesses risk factors and health care utilisation. We identified 177 children (1-15 years) with IIH diagnosed between 2003 and 2017. Incidence increased from 1.6/100 000 per year (2003) to 3.5/100 000 per year (2017). Sixty-three percent of the cases were girls, and 87% were diagnosed between 7 and 15 years. Children in the most deprived quintile were more likely to develop IIH compared to children in the least deprived quintile (odds ratio [OR] = 1.7 [95%CI = 1.1-2.9]). Obese and overweight children were more likely to develop IIH compared with non-overweight children (ORs = 21 [95%CI = 9-51] and 5.1 [95%CI = 1.9-14]). Children with IIH had higher hospital admission rates than children without IIH (rate ratio = 3.9; 95% CI 3.6-4.3). The increasing incidence, association with BMI and deprivation, and increased health care utilisation in children with IIH are relevant findings to health care professionals and policy makers.


Publication metadata

Author(s): Azad Khan R, Strafford H, Fonferko-Shadrach B, Bush K, Powell R, White C, Lacey A, Pickrell WO

Publication type: Article

Publication status: Published

Journal: Journal of Child Neurology

Year: 2026

Pages: Epub ahead of print

Online publication date: 17/04/2026

Acceptance date: 10/03/2026

Date deposited: 06/05/2026

ISSN (print): 0883-0738

ISSN (electronic): 1708-8283

Publisher: SAGE Publications Inc.

URL: https://doi.org/10.1177/08830738261436139

DOI: 10.1177/08830738261436139

Data Access Statement: The data used in this study are not publicly available because proposals to access the SAIL Databank are subject to review by an independent Information Governance Review Panel (IGRP) to ensure compliance with data protection laws.


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