scholarly journals EHMTI-0261. Idiopathic intracranial hypertension presenting as acute onset bilateral visual loss

2014 ◽  
Vol 15 (S1) ◽  
Author(s):  
R Handa ◽  
RS Jain ◽  
K Nagpal ◽  
S Prakash ◽  
I Bhana ◽  
...  
2010 ◽  
Vol 30 (1) ◽  
pp. 96-98 ◽  
Author(s):  
Matthew J Thurtell ◽  
Nancy J Newman ◽  
Valérie Biousse

2009 ◽  
Vol 22 (4) ◽  
pp. 381-385 ◽  
Author(s):  
A. Viglianesi ◽  
M. Messina ◽  
R. Chiaramonte ◽  
G.A. Meli ◽  
L. Meli ◽  
...  

Magnetic resonance imaging disclosed both optic nerve tortuosity and kinking in a 64-year-old man with orbital pain and monolateral abducens nerve palsy. The association between optic nerve tortuosity and abducens nerve palsy is often described in literature reports of idiopathic intracranial hypertension. However the diagnosis of idiopathic intracranial hypertension was excluded in our patient because of the absence of other signs such as papilledema (universally present in the cases of idiopathic intracranial hypertension), visual loss, headache and flattening of the posterior sclera. Other possible diagnoses to be considered when looking at a case of optic nerve tortuosity are neurofibromatosis and/or optic nerve glioma. Tortuosity of both optic nerves seems to be isolated in our patient and not associated with other diseases or disorders. We suggest that in some patients optic nerve tortuosity could be correlated with an aberrant anatomical development of the optic nerve. Further studies are necessary to confirm this hypothesis which currently remains conjectural.


Author(s):  
M. Angela O’Neal

This case illustrates a typical presentation of idiopathic intracranial hypertension (IIH) during pregnancy. The diagnostic criteria, complications, and treatment of the condition during pregnancy are explored. The major complication of IIH is visual loss. The International Headache Society 2013 criteria for idiopathic intracranial hypertension are: that the headache should remit after the CSF pressure is in the normal range, CSF pressure is greater than 250 mm, and the majority of patients have papilledema and other symptoms, which may include visual obscurations, pulsatile tinnitus, double vision, and neck or back pain. IIH treatment includes weight control, high-volume lumbar punctures, and medications.


2014 ◽  
Vol 34 (3) ◽  
pp. 223-228 ◽  
Author(s):  
Laura C. Huang ◽  
Timothy W. Winter ◽  
Angela M. Herro ◽  
Potyra R. Rosa ◽  
Joyce C. Schiffman ◽  
...  

JAMA ◽  
2014 ◽  
Vol 311 (16) ◽  
pp. 1641 ◽  
Author(s):  
Michael Wall ◽  
Michael P. McDermott ◽  
Karl D. Kieburtz ◽  
James J. Corbett ◽  
Steven E. Feldon ◽  
...  

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