Papilledema: Difference between revisions
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*[[Malignant hypertension]] | *[[Malignant hypertension]] | ||
*[[Idiopathic intracranial hypertension]] (pseudotumor cerebri) | *[[Idiopathic intracranial hypertension]] (pseudotumor cerebri) | ||
*Intracranial mass | *[[Intracranial mass]] | ||
*Hydrocephalus | *[[Hydrocephalus]] | ||
*Cerebral edema | *Cerebral edema | ||
==Clinical Features== | ==Clinical Features== | ||
*Increased ICP symptoms: | *[[Increased ICP]] symptoms: | ||
**[[Headache]] (esp with recumbency and in the morning) | **[[Headache]] (esp with recumbency and in the morning) | ||
**[[Nausea and vomiting]] | **[[Nausea and vomiting]] | ||
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**May have visual obscurations that clear completely lasting seconds | **May have visual obscurations that clear completely lasting seconds | ||
===Fundoscopy=== | ===Fundoscopy=== | ||
*Loss of spontaneous venous pulsations | *Loss of spontaneous venous pulsations | ||
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*Cup is diminished or absent | *Cup is diminished or absent | ||
=== | ==Differential Diagnosis== | ||
*[[Malignant hypertension]] | |||
*[[Idiopathic intracranial hypertension]] (pseudotumor cerebri) | |||
*[[Intracranial mass]] | |||
*[[Hydrocephalus]] | |||
*Cerebral edema | |||
==Evaluation== | |||
*MRI | *MRI | ||
*CT (if MRI unavailable) | *CT (if MRI unavailable) | ||
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==See Also== | ==See Also== | ||
*[[Increased ICP]] | |||
==External Links== | ==External Links== | ||
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[[Category:Ophthalmology]] | [[Category:Ophthalmology]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Symptoms]] | |||
Revision as of 14:02, 14 September 2019
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
Fundoscopy
- Loss of spontaneous venous pulsations
- Disc margin blurring
- Cup is diminished or absent
Differential Diagnosis
- Malignant hypertension
- Idiopathic intracranial hypertension (pseudotumor cerebri)
- Intracranial mass
- Hydrocephalus
- Cerebral edema
Evaluation
- MRI
- CT (if MRI unavailable)
- LP (if neuroimaging normal)
- Opening pressure >25 considered abnormal
Management
- Treat underlying condition