Atypical presentations of idiopathic intracranial hypertension.
Idiopathic intracranial hypertension
magnetic resonance imaging
pseudotumor cerebri
Journal
Taiwan journal of ophthalmology
ISSN: 2211-5072
Titre abrégé: Taiwan J Ophthalmol
Pays: India
ID NLM: 101582127
Informations de publication
Date de publication:
Historique:
received:
29
08
2020
accepted:
11
09
2020
entrez:
26
3
2021
pubmed:
27
3
2021
medline:
27
3
2021
Statut:
epublish
Résumé
Idiopathic intracranial hypertension (IIH) is a disorder of unknown etiology that results in isolated raised intracranial pressure. Classic symptoms and signs of IIH include headache, papilledema, diplopia from sixth nerve palsy and divergence insufficiency, and pulsatile tinnitus. Atypical presentations include: (1) highly asymmetric or even unilateral papilledema, and IIH without papilledema; (2) ocular motor disturbances from third nerve palsy, fourth nerve palsy, internuclear ophthalmoplegia, diffuse ophthalmoplegia, and skew deviation; (3) olfactory dysfunction; (4) trigeminal nerve dysfunction; (5) facial nerve dysfunction; (6) hearing loss and vestibular dysfunction; (7) lower cranial nerve dysfunction including deviated uvula, torticollis, and tongue weakness; (8) spontaneous skull base cerebrospinal fluid leak; and (9) seizures. Although atypical findings should raise a red flag and prompt further investigation for an alternative etiology, clinicians should be familiar with these unusual presentations.
Identifiants
pubmed: 33767953
doi: 10.4103/tjo.tjo_69_20
pii: TJO-11-25
pmc: PMC7971435
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
25-38Informations de copyright
Copyright: © 2020 Taiwan J Ophthalmol.
Déclaration de conflit d'intérêts
The authors declare that there are no conflicts of interests of this paper.
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