Papilledema

Background

  • Bilateral optic disc swelling due to increased ICP

Etiology

Clinical Features

  • Increased ICP symptoms:
  • 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

See Also

External Links

References