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The Color Atlas of Family Medicine
| Part 4. Ophthalmology > Section 2. Internal Eye > |
Chapter 21. Papilledema
Sections: Patient Story, Epidemiology, Etiology and Pathophysiology, Differential Diagnosis, Management, Patient Education, Follow-Up, References.
Topics Discussed: papilledema.
Excerpt:"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 neurological 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 21-1), no spontaneous venous pulsations (SVP), and no other neurologic signs. She had a normal brain MRI 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 spontaneously over the course of 18 months...."
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