Intracranial hypertension

Case contributed by Dr Paresh K Desai

Presentation

Severe headache, no vomitting. Papilloedema

Patient Data

Age: 35 years
Gender: Male
Modality: CT

see below

Modality: MRI

see below

Case Discussion

32 year old male with presented for neuroimaging with h/o headache and decreasing vision for eight days.
clinical Examination revealed bilateral papilledema.

CT revealed normal neuroparenchyma with pansinusitis.

Basal sections through the orbit revealed tortuous optic nerves on both sides.

MRI of brain and orbit done subsequently confirmed the findings seen on CT. In addition MRI revealed extensive thrombosis of Superior sagittal sinus and the right transverse sinus.

Lumbar puncture was performed; the CSF pressure was high (24cm), 30cc of CSF was let out and the patient was heparinised. The patient clinically improved with this therapy.

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Case Information

rID: 8628
Case created: 18th Feb 2010
Last edited: 7th Jan 2016
Inclusion in quiz mode: Included

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