Idiopathic intracranial hypertension (pseudotumor 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 papilledema.

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.

 

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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