• Seminars in ophthalmology · Jul 2013

    Case Reports

    Unilateral papilledema in pseudotumor cerebri.

    • Koby Brosh and Israel Strassman.
    • Shaarey Zedek Medical Center, Department of Ophthalmology, Jerusalem, Israel. broshk@gmail.com
    • Semin Ophthalmol. 2013 Jul 1; 28 (4): 242-3.

    PurposeTo report a case of a 25-year-old girl with pseudotumor cerebri who presented with unilateral swollen optic disk.MethodsA 25-year-old obese patient admitted to our ophthalmic department complaining of headaches, tinnitus, and transient visual obscurations for the last three months. Upon ophthalmic examination, the left optic nerve was swollen with a few hemorrhages compared to the normal-appearing right optic nerve. Following lumbar puncture with opening pressure of 350 mmHg, a diagnosis of pseudotumor cerebri was made and treatment with acetazolamide was started.ResultsThree months later there were no episodes of visual obscurations and headache improved.ConclusionAlthough rare, unilateral swollen disk could be a sign of unilateral papilledema due to increased intracranial pressure.

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