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Scholars Journal of Medical Case Reports | Volume-3 | Issue-02
Changes of Papilledema in a Case of Idiopathic Intracranial Hypertension
Shinji Makino, Shin-ichi Sakamoto
Published: Feb. 26, 2015 | 138 98
DOI: 10.36347/sjmcr.2015.v03i02.008
Pages: 95-98
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Abstract
We present a case of idiopathic intracranial hypertension in an 18-year-old boy. The ophthalmoscopic examination revealed marked papilledema in the right eye and mild papilledema in the left. Magnetic resonance imaging demonstrated a torturous right optic nerve, flattened right posterior sclera, and bilateral enlargement of the optic nerve sheath. The bilateral papilledema worsened during 2 months after the initial visit. On lumbar puncture, the cerebrospinal fluid pressure was 270 mm H2O. He was prescribed acetazolamide, and the bilateral papilledema gradually improved. Six months later, the papilledema was completely resolved.