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| OPHTHALMIC IMAGE |
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| Year : 2022 | Volume
: 60
| Issue : 1 | Page : 116 |
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Never a simple headache: Idiopathic intracranial hypertension
Shruthy Vaishali Ramesh1, Prasanna Venkatesh Ramesh2, Ramesh Rajasekaran3, Meena Kumari Ramesh1, Aji Kunnath Devadas4
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 Submission | 16-Jan-2021 |
| Date of Decision | 03-Mar-2021 |
| Date of Acceptance | 04-Mar-2021 |
| Date of Web Publication | 22-Mar-2022 |
Correspondence Address:
Dr. Prasanna Venkatesh Ramesh
Mahathma Eye Hospital Private Limited, No 6, Tennur, Seshapuram, Trichy, Tamil Nadu - 620 017
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/tjosr.tjosr_112_20
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 | |  |
| 1. | Friedman DI, Jacobson DM. Idiopathic intracranial hypertension. J Neuroophthalmol 2004;24:138-45.  |
| 2. | Ramesh SV, Ramesh PV. Photo quiz: Holistic integrative ophthalmology with multiplex imaging. TNOA J Ophthalmic Sci Res 2020;58:334-5. [Full text] |
| 3. | Ramesh SV, Ramesh PV. Photo Quiz Answers. TNOA J Ophthalmic Sci Res 2020;58:336. [Full text] |
| 4. | Ashok A, Parthasarathi S, Ramesh PV. Diclofenac-induced papilledema. TNOA J Ophthalmic Sci Res 2021;59:199-201. [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. [ PUBMED] [Full text] |
[Figure 1], [Figure 2]
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