Idiopathic intracranial hypertension

Case contributed by Ammar Haouimi
Diagnosis probable

Presentation

Bilateral papilledema.

Patient Data

Age: 25 years
Gender: Female

The MRI sequences demonstrate:

  • vertical tortuosity of the optic nerves
  • enlargement of the subarachnoid space around the optic nerves
  • flattening of the posterior sclera bilaterally
  • slight protrusion of the optic nerve head on the right
  • Partially empty sella turcica 
  • the MRV 2D-TOF MRV shows a hypoplastic left transverse and sigmoid sinuses and stenosis in distal portion of the right transverse sinus 
  • no mass lesion is seen at the infra- or supratentorial level.

Case Discussion

The MRI features suggest an idiopathic intracranial hypertension.

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