Idiopathic intracranial hypertension (pseudotumour cerebri)

Case contributed by Dr Dalia Ibrahim

Presentation

Headache and papilloedema.

Patient Data

Age: 10 years old
Gender: Male

Both optic nerves show

  • flattening of the posterior sclera and protrusions of the optic nerve heads (This is the radiographic correlate with papilledema)
  • vertical tortuosity of the optic nerves
  • prominent subarachnoid space around the optic nerves.

MRV: revealed a hypoplastic left transverse sinus and  smooth-bordered stenoses in distal portions of both transverse sinuses (more at the left side)

 

Both optic nerves show

  • flattening of the posterior sclera (dashed lines
  • protrusions of the optic nerve heads (red arrows)
  • prominent subarachnoid space around the optic nerves(yellow arrows)
  • vertical tortuosity of the optic nerves

Case Discussion

Both optic nerves show

  • flattening of the posterior sclera and protrusions of the optic nerve heads (This is the radiographic correlate with papilledema)
  • vertical tortuosity of the optic nerves
  • prominent subarachnoid space around the optic nerves.

MRV usually reveal bilateral distal stenoses of both transverse sinuses.

  

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Case information

rID: 29638
Case created: 10th Jun 2014
Last edited: 14th Mar 2016
Inclusion in quiz mode: Included

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