Presentation
Visual disturbances with bilateral papilledema.
Patient Data
Age: 45 years
Gender: Female
From the case:
Idiopathic intracranial hypertension
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/109355/annotated_viewer_json?iframe=true\u0026lang=us"}
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
- protrusions of the optic nerve heads
- partially empty sella turcica
- enlarged Meckel cave
- the MRV 2D-TOF shows moderate stenosis of the lateral sinuses
- no mass lesion is seen at the infra- or supratentorial level.
Case Discussion
MRI findings most consistent with an idiopathic intracranial hypertension