Presentation
Pulsating headache and fluctuating visual problems. Opthalmologic examination showed papilledema.
Patient Data
Age: 40 years
Gender: Female
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Typical partial empty sella turcica (e.g. 2-12 on the sagittal and 4-8 on the axial view) and the papilledema (e.g. 4-9 on the axial view).
Case Discussion
Imaging of the brain with CT and MRI is essential in patients with idiopathic intracranial hypertension, to exclude elevated cerebrospinal fluid pressure due to brain tumor, dural sinus thrombosis, hydrocephalus etc...
Treatment options include CSF letting, acetazolamide and lumboperitoneal shunts. In patients with progressive visual deterioration optic nerve fenestration to preserve vision.
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