Papilledema: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Increased ICP symptoms: | *Increased ICP symptoms: | ||
**[[Headache]] (esp | **[[Headache]] (esp with recumbency and in the morning) | ||
**[[Nausea and vomiting]] | **[[Nausea and vomiting]] | ||
*Preservation of visual acuity | *Preservation of visual acuity | ||
Revision as of 16:20, 12 July 2016
Background
- Bilateral optic disc swelling due to increased ICP
Etiology
- Malignant hypertension
- Idiopathic intracranial hypertension (pseudotumor cerebri)
- Intracranial mass
- Hydrocephalus
- Cerebral edema
Clinical Features
- Increased ICP symptoms:
- Headache (esp with recumbency and in the morning)
- Nausea and vomiting
- Preservation of visual acuity
- May have visual obscurations that clear completely lasting seconds
Differential Diagnosis
Diagnosis
Fundoscopy
- Loss of spontaneous venous pulsations
- Disc margin blurring
- Cup is diminished or absent
Work-Up
- MRI
- CT (if MRI unavailable)
- LP (if neuroimaging normal)
- Opening pressure >25 considered abnormal
Management
- Treat underlying condition