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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2022  |  Volume : 60  |  Issue : 1  |  Page : 116

Never a simple headache: Idiopathic intracranial hypertension


1 Department of Cataract and Refractive Surgery, Mahathma Eye Hospital Private Limited, Tiruchirappalli, Tamil Nadu, India
2 Department of Glaucoma and Research, Mahathma Eye Hospital Private Limited, Tiruchirappalli, Tamil Nadu, India
3 Department of Paediatric Ophthalmology and Strabismus, Mahathma Eye Hospital Private Limited, Tiruchirappalli, Tamil Nadu, India
4 Department of Optometry and Visual Science, Mahathma Eye Hospital Private Limited, Tiruchirappalli, Tamil Nadu, India

Date of Submission16-Jan-2021
Date of Decision03-Mar-2021
Date of Acceptance04-Mar-2021
Date of Web Publication22-Mar-2022

Correspondence Address:
Dr. Prasanna Venkatesh Ramesh
Mahathma Eye Hospital Private Limited, No 6, Tennur, Seshapuram, Trichy, Tamil Nadu - 620 017
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_112_20

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How to cite this article:
Ramesh SV, Ramesh PV, Rajasekaran R, Ramesh MK, Devadas AK. Never a simple headache: Idiopathic intracranial hypertension. TNOA J Ophthalmic Sci Res 2022;60:116

How to cite this URL:
Ramesh SV, Ramesh PV, Rajasekaran R, Ramesh MK, Devadas AK. Never a simple headache: Idiopathic intracranial hypertension. TNOA J Ophthalmic Sci Res [serial online] 2022 [cited 2022 Jun 29];60:116. Available from: https://www.tnoajosr.com/text.asp?2022/60/1/116/340338



A 43-year-old female presented with complaints of severe headache and transient blurring of vision for the past 1 month. On evaluation, the patient had uncorrected visual acuity of 20/20 and fundus photograph showed bilateral disc edema [Figure 1]. Magnetic resonance imaging, magnetic resonance angiography, and magnetic resonance venography were done. These investigations ruled out venous thrombosis and showed empty sella tursica with bilateral enhancement of the cerebrospinal fluid space around the optic nerve head [Figure 2]. The patient was started on oral acetazolamide 250 mg QID. Idiopathic intracranial hypertension (IIH) or pseudotumor cerebri is a surprisingly common condition, affecting the middle-aged, obese female. With substantial developments during the past two decades in imaging modalities, clinicians are provided with more tools for excluding disorders that mimic IIH and for facilitating its diagnosis and management.[1],[2],[3],[4],[5]
Figure 1: Color fundus photograph of (a) OD and (b) OS showing bilateral papilledema with Paton's lines

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Figure 2: (a) Sagittal section of magnetic resonance imaging brain showing empty sella sign (red circle). (b) Axial section of T2-weighted magnetic resonance imaging showing enhancement of cerebrospinal fluid space around the optic nerve (red arrows)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Friedman DI, Jacobson DM. Idiopathic intracranial hypertension. J Neuroophthalmol 2004;24:138-45.  Back to cited text no. 1
    
2.
Ramesh SV, Ramesh PV. Photo quiz: Holistic integrative ophthalmology with multiplex imaging. TNOA J Ophthalmic Sci Res 2020;58:334-5.  Back to cited text no. 2
  [Full text]  
3.
Ramesh SV, Ramesh PV. Photo Quiz Answers. TNOA J Ophthalmic Sci Res 2020;58:336.  Back to cited text no. 3
  [Full text]  
4.
Ashok A, Parthasarathi S, Ramesh PV. Diclofenac-induced papilledema. TNOA J Ophthalmic Sci Res 2021;59:199-201.  Back to cited text no. 4
  [Full text]  
5.
Ramesh SV, Ramesh PV, Ramesh MK, Padmanabhan V, Rajasekaran R. COVID-19-associated papilledema secondary to cerebral venous thrombosis in a young patient. Indian J Ophthalmol 2021;69:770-2.  Back to cited text no. 5
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