Medical Subject Headings

Papilledema, pseudotumor cerebri, spinal puncture, visual fields, phlebography, optic disc, magnetic resonance imaging, neurology


Background: Optic nerve head edema is a serious finding for which multiple etiologies need to be considered. When optic nerve head edema is observed bilaterally, among the top differentials is idiopathic intracranial hypertension (IIH), also known as primary pseudotumor cerebri. An emergent magnetic resonance image with and without contrast as well as venography and lumbar puncture with opening pressure measurement must be performed to diagnose and determine management. Case Report: This case specifically features a 30-year-old Caucasian female with bilateral optic disc edema secondary to IIH. In addition to discussing the details regarding this patient’s case, this report highlights pertinent imaging, visual testing, and co-management. Conclusion: Important caveats to treatment and management of the condition, and other underlying complications of IIH are discussed. Close monitoring of papilledema, visual acuity, and visual field, along with co-management with neurology and neuro-ophthalmology will provide optimum care.

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Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Digital Object Identifier (DOI)