Idiopathic Intracranial Hypertension: A Case Report.


Journal

JNMA; journal of the Nepal Medical Association
ISSN: 1815-672X
Titre abrégé: JNMA J Nepal Med Assoc
Pays: Nepal
ID NLM: 0045233

Informations de publication

Date de publication:
28 Feb 2021
Historique:
received: 11 07 2020
accepted: 29 12 2020
entrez: 10 9 2021
pubmed: 11 9 2021
medline: 15 9 2021
Statut: epublish

Résumé

Idiopathic Intracranial Hypertension is a rare occurrence in young, physically fit male and a diagnosis of exclusion among most patients presenting with signs and symptoms of raised intracranial pressure. Here we describe a case of a young male in the ideal weight range with no previous exposure to offending chemicals presented with a history of headache, obscuration of vision, and photopsia. On examination, there were no positive neurological findings. Increased opening pressure was found on the lumbar puncture. Ophthalmological examination revealed bilateral papilledema. Humphrey’s Visual field test showed peripheral field loss. Magnetic resonance imaging scan of the brain and orbits were normal. The patient was diagnosed and managed in primary care setting after neurosurgical consultation. Though rare, we should suspect idiopathic intracranial hypertension in ideal body weighted male if the headache is persistent after other causes of headache have been ruled out.

Identifiants

pubmed: 34506475
doi: 10.31729/jnma.5176
pmc: PMC8959236
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

197-199

Références

Neurosurg Rev. 2021 Apr;44(2):773-792
pubmed: 32335853
Neurosurgery. 2004 Mar;54(3):538-51; discussion 551-2
pubmed: 15028127
Curr Opin Ophthalmol. 2018 Nov;29(6):495-502
pubmed: 30169466
Headache. 2017 Sep;57(8):1303-1310
pubmed: 28758206
Am J Ophthalmol. 2007 Apr;143(4):635-41
pubmed: 17386271
J Neurol Neurosurg Psychiatry. 2012 May;83(5):488-94
pubmed: 22423118
Med Hypotheses. 2003 Nov-Dec;61(5-6):526-8
pubmed: 14592781
JAMA Neurol. 2014 Jun;71(6):693-701
pubmed: 24756302

Auteurs

Anupam Ghimire (A)

Department of General Practice and Emergency Medicine, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.

Achal Raj Acharya (AR)

Department of General Medicine, Nobel Hospital, Sinamangal, Kathmandu, Nepal.

Anish Karn (A)

Department of General Practice and Emergency Medicine, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.

Mukesh Kumar Jha (M)

Department of Ophthalmology, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.

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Classifications MeSH