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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.