Objective: To describe a mother and her 2 sons affected by idiopathic
intracranial hypertension (IIH), associated in the sons with root irri
tation symptom. Unlike the other 4 families reported previously, obesi
ty was not present in our patients. Design: Case reports. Setting: Dep
artment of pediatrics in a university school of Medicine, Naples, Ital
y. Patients: A mother (aged 36 years) and her 2 sons (aged 14 and 9 ye
ars) developed IIH at different times. Neuroimaging showed an empty se
lla in the mother, while IIH was associated with spinal and radicular
pain in her 2 sons. The mother and the younger son developed permanent
visual loss. Conclusions: Ophthalmologic follow-up in our patients in
dicates that IIH is a chronic disease. Surgical treatment should be co
nsidered an option.