Presentation
Diminished vision since 2 days, Headache since since 7 days
Patient Data
Empty sella seen with widening and remodeling of sella turcica.
Mild focal stenosis involving the lateral segment of bilateral transverse sinuses. seen on MR venography.
Tortuosity of bilateral optic nerves with mild prominence of subarachnoid space around the nerves.
Lumbar puncture revealed:
Opening pressure ~35 mm of Hg
ADA in normal range.
No other significant finding.
Case Discussion
Patient presented with diminished vision for 2 days and headache for 7 days. No significant past medical or surgical history. She received temporary relief with analgesics, steroids and other supportive care.
Lumbar puncture and CSF manometry performed revealed an opening pressure of ~35 mm of Hg
MRI brain with orbits revealed mild focal stenosis involving the lateral segment of bilateral transverse sinuses.
Fundus examination revealed CDR 0.1:1, flame hemorrhage and edematous disc suggestive of bilateral established papilledema.
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