Idiopathic intracranial hypertension (pseudotumour cerebri)

Case contributed by Dr Mohammad A. ElBeialy

Presentation

5 years old child presenting with headache, blurred vision and diminished left eye vision. Fundal examination revealed bilateral papilloedema.

Patient Data

Age: 5 years
Gender: Male

  • Mild ectasia and tortousity of both optic nerves as well as distended peri-optic nerve sheaths with enlarged perioptic subarachnoid CSF spaces.
  • Mild indentation of the posterior eye globe related to the optic nerve head is observed.

  • Partial empty sella.
  • Slit-likle ventricles.
  • Otherwise, normal supra- and infra-tentorial brain with no mass lesion or signal abnormality.

 

Modality: Annotated image

Typical MRI findings of idiopathic intracranial hypertension.

Case Discussion

The above described findings are consistent with idiopathic intracranial hypertension or "pseudotumor cerebri" in the appropriate clinical setting.

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Case Information

rID: 31055
Case created: 17th Sep 2014
Last edited: 16th Dec 2015
Inclusion in quiz mode: Included

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