Iran Medical Council Journal of Iranian Medical Council 2645-338X 9 4 2026 10 01 Ophthalmic and Neurological Manifestations of Otitic Hydrocephalus: A Pediatric Case Report 1017 1023 252455 http://dx.doi.org/10.18502/jimc.v9i4.22472 EN Hanieh Ahmadi Clinical Research and Development Unit of Bu-Ali Sina Hospital, Mazandaran University of Medical Sciences, Sari, Iran Anousheh Ghaffari Clinical Research and Development Unit of Bu-Ali Sina Hospital, Mazandaran University of Medical Sciences, Sari, Iran Zahra Heidari Psychiatry and Behavioral Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran Journal Article 2025 06 22 Pediatric Otitis Media (OM) can result in rare intracranial complications such as otitic hydrocephalus. This case report describes a 6-year-old girl with acute OM, right esotropia, and bilateral papilledema. Imaging revealed mastoiditis and intracranial complications, which required mastoidectomy, ventilation tube insertion, tympanomastoidectomy, and lumbar puncture. Early recognition of ophthalmic signs is crucial for prompt diagnosis and intervention.<br><br> https://www.jimc.ir/article_252455_cabc2c1bf74383cbcefb9730ec9ffdec.pdf