Pseudotumour Cerebri without Papilledema in a Healthcare Worker


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

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.

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