RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57671658
T1 Chapter 22. Papilledema
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57671658
RD 2024/04/19
AB A  29-year-old  obese  woman  presented  with  chronic  headaches  that  were  worse  in  the  morning  or  while  lying  down.  She  denied  nausea  or  other  neurologic  symptoms.  She  had  no  other  medical  problems  and  took  no  medications.  On  examination,  she  had  a  visual  acuity  of  20/20  in  both  eyes,  bilateral  papilledema  (Figure  22-1),  no  spontaneous  venous  pulsations  (SVPs),  and  no  other  neurologic  signs.  She  had  a  brain  MRI  showing  no  mass  or  hydrocephalus,  and  elevated  intracranial  pressure  measured  by  lumbar  puncture.  She  was  diagnosed  with  idiopathic  intracranial  hypertension  and  was  followed  closely  for  any  changes  in  her  vision.  She  was  started  on  acetazolamide  and  assisted  with  a  weight-loss  program.  Her  symptoms  resolved  over  the  course  of  18  months.