Encephalocoeles (multiple)

Discussion:

Idiopathic intracranial hypertension can be clinically occult in the presence of meningocoeles, but become florid when a dural repair is performed. As such a suspicion based on imaging features is crucial. 

In this case this is almost certainly the underlying cause. Not only are there supportive imaging features, but the demographic is also appropriate (overweight middle aged female). 

 

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