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 | ||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
== | ==Evaluation== | ||
===Fundoscopy=== | ===Fundoscopy=== | ||
*Loss of spontaneous venous pulsations | *Loss of spontaneous venous pulsations | ||
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**Opening pressure >25 considered abnormal | **Opening pressure >25 considered abnormal | ||
== | ==Management== | ||
*Treat underlying condition | *Treat underlying condition | ||
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==References== | ==References== | ||
<references/> | |||
[[Category: | [[Category:Ophthalmology]] | ||
[[Category: | [[Category:Neurology]] | ||
Revision as of 01:13, 24 July 2017
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
Evaluation
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