IDIOPATHIC INTRACRANIAL HYPERTENSION WITHOUT PAPILLEDEMA: A CASE REPORT

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MOGHADASI MAHDI; FREYDOONNEJAD A.A.

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Journal Paper

Paper Information

Journal: ARCHIVES OF IRANIAN MEDICINE Year:2005 | Volume:8 | Issue:2 Page(s): 139-140

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Title

IDIOPATHIC INTRACRANIAL HYPERTENSION WITHOUT PAPILLEDEMA: A CASE REPORT

Author(s)

MOGHADASI MAHDI | FREYDOONNEJAD A.A. | Issue Writer Certificate

Keywords

CHRONIC HEADACHE • IDIOPATHIC INTRACRANIAL HYPERTENSION • LUMBAR PUNCTURE • NORMAL OPTIC DISC • PAPILLEDEMA

Abstract

Idiopathic intracranial hypertension (IIH), also known as pseudotumor cerebri, is characterized
by headache, papilledema, and normal cerebrospinal fluid (CSF) findings, all occurring in the
absence of enlarged ventricles or an intracranial mass on computerized tomographic (CT) scan or
magnetic resonance imaging (MRI). Papilledema is a cardinal feature of IIH, however, in rare cases,
IIH may occur without papilledema or even with pseudopapilledema. We describe an overweight
woman with long-standing headache and mild right abducent nerve paresis with a normal
neurological examination including fundoscopy, Snellen visual acuity, and perimetery. After
normal findings on brain MRI and laboratory tests, a lumbar puncture was performed, which was
normal except for a CSF opening pressure of 400 mmH2O. However, after repeated lumbar
punctures and the diagnosis of IIH, the patient’s headache gradually subsided and her diplopia
improved. In obese patients with chronic headaches and cranial nerve paresis, the diagnosis of IIH
should be considered, even in the absence of papilledema. A lumbar puncture is helpful both
diagnostically and therapeutically.

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APA: Copy

MOGHADASI, MAHDI, & FREYDOONNEJAD, A.A.. (2005). IDIOPATHIC INTRACRANIAL HYPERTENSION WITHOUT PAPILLEDEMA: A CASE REPORT. ARCHIVES OF IRANIAN MEDICINE, 8(2), 139-140. SID. https://sid.ir/paper/280041/en

Vancouver: Copy

MOGHADASI MAHDI, FREYDOONNEJAD A.A.. IDIOPATHIC INTRACRANIAL HYPERTENSION WITHOUT PAPILLEDEMA: A CASE REPORT. ARCHIVES OF IRANIAN MEDICINE[Internet]. 2005;8(2):139-140. Available from: https://sid.ir/paper/280041/en

IEEE: Copy

MAHDI MOGHADASI, and A.A. FREYDOONNEJAD, “IDIOPATHIC INTRACRANIAL HYPERTENSION WITHOUT PAPILLEDEMA: A CASE REPORT,” ARCHIVES OF IRANIAN MEDICINE, vol. 8, no. 2, pp. 139–140, 2005, [Online]. Available: https://sid.ir/paper/280041/en

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