Uncommon presentation of idiopathic intracranial hypertension
A 51-year-old gentleman, a known hypertensive on medications presented with transient visual disturbance in his left eye. Examination revealed the presence of unilateral optic disc edema. A lumbar puncture revealed elevated opening pressure with normal cerebrospinal fluid biochemical parameters. Neu...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Archives of Medicine and Health Sciences |
| Subjects: | |
| Online Access: | http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=2;spage=285;epage=287;aulast=Chandiraesharan |
| _version_ | 1811314970139295744 |
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| author | Vignesh Kumar Chandiraesharan Ajay Kumar Mishra Maria Koshy Sunithi Elizabeth Mani |
| author_facet | Vignesh Kumar Chandiraesharan Ajay Kumar Mishra Maria Koshy Sunithi Elizabeth Mani |
| author_sort | Vignesh Kumar Chandiraesharan |
| collection | DOAJ |
| description | A 51-year-old gentleman, a known hypertensive on medications presented with transient visual disturbance in his left eye. Examination revealed the presence of unilateral optic disc edema. A lumbar puncture revealed elevated opening pressure with normal cerebrospinal fluid biochemical parameters. Neuroimaging showed no evidence for an alternative cause for intracranial hypertension thus confirming the diagnosis of idiopathic intracranial hypertension (IIH). IIH can rarely present with a unilateral papilledema. This emphasizes the need to meticulously examine both optic fundi in all patients with suspected intracranial hypertension. Early diagnosis of this condition can help in the prevention of permanent visual loss. We hereby report the second case of IIH presenting with a unilateral papilledema in Indian literature. |
| first_indexed | 2024-04-13T11:22:00Z |
| format | Article |
| id | doaj.art-3b695e5ecb1f486d979a8a4df26a9ec7 |
| institution | Directory Open Access Journal |
| issn | 2321-4848 |
| language | English |
| last_indexed | 2024-04-13T11:22:00Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Archives of Medicine and Health Sciences |
| spelling | doaj.art-3b695e5ecb1f486d979a8a4df26a9ec72022-12-22T02:48:48ZengWolters Kluwer Medknow PublicationsArchives of Medicine and Health Sciences2321-48482015-01-013228528710.4103/2321-4848.171926Uncommon presentation of idiopathic intracranial hypertensionVignesh Kumar ChandiraesharanAjay Kumar MishraMaria KoshySunithi Elizabeth ManiA 51-year-old gentleman, a known hypertensive on medications presented with transient visual disturbance in his left eye. Examination revealed the presence of unilateral optic disc edema. A lumbar puncture revealed elevated opening pressure with normal cerebrospinal fluid biochemical parameters. Neuroimaging showed no evidence for an alternative cause for intracranial hypertension thus confirming the diagnosis of idiopathic intracranial hypertension (IIH). IIH can rarely present with a unilateral papilledema. This emphasizes the need to meticulously examine both optic fundi in all patients with suspected intracranial hypertension. Early diagnosis of this condition can help in the prevention of permanent visual loss. We hereby report the second case of IIH presenting with a unilateral papilledema in Indian literature.http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=2;spage=285;epage=287;aulast=ChandiraesharanImagingintracranial hypertensionmodified dandy criteriaunilateral papilledema |
| spellingShingle | Vignesh Kumar Chandiraesharan Ajay Kumar Mishra Maria Koshy Sunithi Elizabeth Mani Uncommon presentation of idiopathic intracranial hypertension Archives of Medicine and Health Sciences Imaging intracranial hypertension modified dandy criteria unilateral papilledema |
| title | Uncommon presentation of idiopathic intracranial hypertension |
| title_full | Uncommon presentation of idiopathic intracranial hypertension |
| title_fullStr | Uncommon presentation of idiopathic intracranial hypertension |
| title_full_unstemmed | Uncommon presentation of idiopathic intracranial hypertension |
| title_short | Uncommon presentation of idiopathic intracranial hypertension |
| title_sort | uncommon presentation of idiopathic intracranial hypertension |
| topic | Imaging intracranial hypertension modified dandy criteria unilateral papilledema |
| url | http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=2;spage=285;epage=287;aulast=Chandiraesharan |
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