Papilloedema

Case contributed by Dr Rengarajan R

Presentation

Decreased urine output, swelling of the face and impaired vision.

Patient Data

Age: 36
Gender: Female
Ultrasound

Pending. 

Case Discussion

This patient was found have deranged renal parameters. She had ascites and bilateral pleural effusions.

Patients with chronic kidney diseases have a number of risk factors which predispose them to the development of disc edema.

In true papilledema, increased intracranial pressure (ICP) is transmitted along the subdural space within the optic nerve. The optic nerve is slightly widened and an echolucent circle within the optic nerve sheath (separating the sheath from the optic nerve) which is called the crescent sign.

Medical comorbidities such as hypertension and diabetes mellitus increase their risk for optic nerve head diseases such as ischemic optic neuropathy and diabetic papillopathy. Malignant hypertension, uremia and dialysis disequilibrium syndrome also are known to cause papilloedema.

Clinical differential for papilloedema are optic drusens which can be differentiated by B-mode ultrasound as they are nodules within the optic nerve which appear as highly reflective structures.

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Case information

rID: 24344
Case created: 8th Aug 2013
Last edited: 20th Sep 2015
Tags: eye, findings
Inclusion in quiz mode: Included

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