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Asymmetric Papilledema and Visual Loss in Pseudotumour Cerebri

Published online by Cambridge University Press:  18 September 2015

Charles E. Maxner ,
Mark I. Freedman  and
James J. Corbett
Charles E. Maxner*
Affiliation:
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City
Mark I. Freedman
Affiliation:
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City
James J. Corbett
Affiliation:
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City
*
C.S. O'Brien Library, University of Iowa Hospitals and Clinics, Iowa City, Iowa, U.S.A. 52242
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Abstract:

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We report the case of a 26 year old obese woman who presented with intermittent headaches and blurred vision in her left eye (OS) and on clinical examination had an enlarged visual field blind spot OS with OS disc edema. After an extensive neurologic work up including two nondiagnostic lumbar punctures, a clinical diagnosis of OS anterior ischemic optic neuropathy was made. Gradual progression of visual field loss OS prompted reassessment of the diagnosis and intracranial pressure was confirmed to be markedly elevated by usage of a subarachnoid monitoring bolt, thus establishing the diagnosis of pseudotumour cerebri. An optic nerve sheath fenestration was performed OS with subsequent reversal of the progressive visual field loss.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 14 , Issue 4 , November 1987 , pp. 593 - 596
Copyright
Copyright © Canadian Neurological Sciences Federation 1987

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