Presentation
Headaches, vomiting and diplopia.
Patient Data
Age: 16 years
Gender: Male
From the case:
Idiopathic intracranial hypertension
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- vertical tortuosity of the optic nerves
- enlargement of the subarachnoid space around the optic nerves
- flattening of the posterior sclera bilaterally with protrusion of the optic nerve heads mainly on the right
- moderately enlarged Meckel cave
- the MRV 2D-TOF shows hypoplastic transverse sinuses mainly on the left
- normal appearance of the posterior cranial fossa and supratentorial cerebral structures
Case Discussion
MRI features most consistent with idiopathic intracranial hypertension in an adolescent.