A 61-year-old man presented with a 4-month history of progressive vision loss and paresthesia between the right L2-L4 dermatome. Funduscopy revealed severe bilateral papilledema (figure 1). Head CT showed mild hydrocephalus. CSF from a lumbar puncture at the L4-L5 level was xanthochromic with an elevated protein level (4,350 mg/dL). Lumbar spine MRI demonstrated a large intradural tumor at the ...

A 26-year-old woman presented to the emergency department with a 2-week history of severe migratory headaches, visual disturbance, and intermittent nausea. She had no significant medical history and was not taking any medications regularly. Her vital signs were normal, but her visual acuity was impaired bilaterally and her visual fields were grossly normal to confrontation. A computed tomograph...

OBJECTIVES To characterize the pathogenesis and clinical features of optic disc edema associated with obstructive sleep apnea syndrome (SAS). METHODS A series of 4 patients with SAS and papilledema (PE) underwent complete neuro-ophthalmologic evaluation and lumbar puncture. In 1 patient, continuous 24-hour intracranial pressure (ICP) monitoring was also performed. RESULTS All 4 patients had...

PURPOSE To quantify the relationship between optic nerve head tomography and perimetric sensitivity in patients with papilledema. METHODS Eight patients with variable degrees of recently diagnosed papilledema associated with idiopathic intracranial hypertension (IIH) were evaluated with confocal scanning laser ophthalmoscopy (CSLO) and automated perimetry. Patients were followed up with seria...

Introduction: Meningioma may increase intracranial pressure (ICP) and cause papilledema, which results bilateral blindness. Since elevated ICP is thought to be caused by an underlying condition, immediate neuroimaging required look into the possibility of papilledema. Patients with tumour sometimes being consulted ophthalmologist ocular problems as their complaint. The purpose this report descr...

 Brucellosis is an infectious disease with high incidence in Iran. Neurobrucellosis is a focal complication of brucellosis affecting both central and peripheral nervous system presenting with a varieties of signs and symptoms. The most reported manifestations are meningitis and meningoencephalitis. In this report, we will describe a case of a young woman affected by neurobrucellosis presen...

PURPOSE We described 3 types of folds in the retina and a crease in the outer retina associated with papilledema owing to idiopathic intracranial hypertension (IIH) at presentation. We report the change in folds relative to treatment of IIH over the 6 months. METHODS In this substudy of a randomized clinical trial, study eyes of subjects assigned to acetazolamide (ACZ, n = 44) or placebo (PLB...