Secondary pseudotumor cerebri syndrome following corticosteroid withdrawal is well a documented entity. Timely diagnosis is critical to preventing blindness. It can be particularly challenging to diagnose in very young children as they may not be able to verbalise the symptoms of headaches and visual loss. Additionally, there can be diagnostic uncertainty if there is subtle papilledema or clinical examination is difficult. Optical coherence tomography can be a very useful tool to both diagnose and monitor papilledema as demonstrated in this 4 year old child following steroid withdrawal for severe eczema. The authors also aim to highlight the importance of the multidisciplinary team in successful management of these challenging cases.
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