Authors :
Dr. Deeksha C.S.
Volume/Issue :
Volume 8 - 2023, Issue 1 - January
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3RgKXBj
DOI :
https://doi.org/10.5281/zenodo.7588030
Abstract :
Papilledema is a cardinal feature of
Idiopathic intracranial hypertension (IIH)But in atypical
scenarios IIH without papilledema (IIHWOP) can also
exists. We report a case of Pseudotumor cerebri without
papilledema in a healthcare worker who presented to
our outpatient department with a severe occipital
headache,tinnitus and photopsia.her dilated fundoscopy
showed normal fundus with no signs of papilledema.Her
laboratory reports were normal but Magnetic Resonance
Imaging (MRI) and Magnetic Resonance Venography
(MRV)of brain showed features suggestive of IIH.We
referred her to neurologist for further management and
they did lumbar puncture in lateral decubitus position
showed raised cerebrospinal fluid (CSF)opening
pressure and CSF analysis showed normal results.Hence
she was diagnosed with IIHWOP according to
Friedman’s criteria and started on topiramate 25mg and
Beta Cap 40mg medications. She was symptomatically
relieved after 2 months of medications and we asked her
for further follow up for fundoscopy,color vision and
Intraocular pressure (IOP).
Keywords :
Idiopathic intracranial hypertension(IIH) , Papilledema , Magnetic resonance venography (MRV),Lumbar puncture , cerebrospinal fluid (CSF),Topiramate.
Papilledema is a cardinal feature of
Idiopathic intracranial hypertension (IIH)But in atypical
scenarios IIH without papilledema (IIHWOP) can also
exists. We report a case of Pseudotumor cerebri without
papilledema in a healthcare worker who presented to
our outpatient department with a severe occipital
headache,tinnitus and photopsia.her dilated fundoscopy
showed normal fundus with no signs of papilledema.Her
laboratory reports were normal but Magnetic Resonance
Imaging (MRI) and Magnetic Resonance Venography
(MRV)of brain showed features suggestive of IIH.We
referred her to neurologist for further management and
they did lumbar puncture in lateral decubitus position
showed raised cerebrospinal fluid (CSF)opening
pressure and CSF analysis showed normal results.Hence
she was diagnosed with IIHWOP according to
Friedman’s criteria and started on topiramate 25mg and
Beta Cap 40mg medications. She was symptomatically
relieved after 2 months of medications and we asked her
for further follow up for fundoscopy,color vision and
Intraocular pressure (IOP).
Keywords :
Idiopathic intracranial hypertension(IIH) , Papilledema , Magnetic resonance venography (MRV),Lumbar puncture , cerebrospinal fluid (CSF),Topiramate.
