Presentation
Chronic headache, poor vision for three years. Right sided papilledema.
Patient Data
CSF filled sella and compressed pituitary gland (empty sella sign).
Bulging of prelaminar portions of bilateral optic nerves into the posterior chamber consistent with papilledema, prominent in the left side.
The CSF space around bilateral optic nerves appear prominent with some buckling of bilateral optic nerves, prominent at right side.
MR venography images show no sign of cerebral venous sinus thrombosis; while there is evidence of hypoplastic left transverse sinus and smooth-bordered stenosis in distal portions of both transverse sinuses.
Case Discussion
Idiopathic intracranial hypertension is a diagnosis of exclusion hence other causes of increased intracranial pressure should be excluded like a space occupying lesion and cerebral venous sinus thrombosis.
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