Idiopathic intracranial hypertension

Case contributed by Bassem Marghany
Diagnosis probable


Chronic headache, upper and lower limb numbness.

Patient Data

Age: 35 years
Gender: Female

Prominent CSF within the subarachnoid space around the tortuous optic nerves.

Flattening of the posterior sclera (papilledema).

Enlarged partially empty sella turcica.

Enlarged Meckel’s caves.

Prominent arachnoid pits/small meningoceles in the middle cranial fossae. 

Case Discussion

Idiopathic intracranial hypertension is considered when such typical findings are encountered, after other causes of elevated CSF pressure (e.g. tumors, hydrocephalus, dural sinus thrombosis) are excluded.

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