Optic disc drusen

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Acute headache, with blurry vision, photophobia, and phonophobia. Unilateral right-sided papilledema was seen on fundoscopic exam.

Patient Data

Age: 15 years
Gender: Male
ct

TC head without contrast

There is a small focus of calcification located at the right optic nerve head without an intracranial lesion.

Case Discussion

Optic disc drusen are composed of small proteinaceous material that become calcified with advancing age. These deposits can be considered small tumors that develop within the optic nerve head, and may lead to an elevated disc (and therefore this condition is sometimes referred to as pseudopapilledema).

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