Coexistence of idiopathic intracranial hypertension and optic disc drusen in a latin american patient: case report.

Archivos De La Sociedad Española De Oftalmología
H D Escobar GómezC Vélez Álvarez

Abstract

Optic nerve drusen are acellular concretions of calcium located in the parenchyma of the optical nerve head described as the most common cause of pseudo-papilloedema, which makes it difficult to differentiate from a true optical disc oedema. Despite it being rare, the drusen of the optic nerve and the papilloedema secondary to idiopathic intracranial hypertension can coexist in the same patient. The case is presented of a 34 year-old woman referred to the Ophthalmology Department with visual discomfort, headaches, and pulsatile tinnitus of two months onset. In the physical examination there was bilateral blurring of the optic disc margin with absence of spontaneous venous pulsation. The diagnosis of idiopathic intracranial hypertension was made by lumbar puncture with the measurement of the opening pressure, and due to the findings of the magnetic resonance scan of the brain and the eye sockets. The optic nerve drusen was an incidental finding in an optical coherence tomography angiography, which would later be confirmed with an eye ultrasound. To our knowledge, this the first case reported in Latin America of the coexistence of optic nerve drusen and papilloedema secondary to idiopathic intracranial hypertension.

References

Feb 23, 2012·Pediatric Neurology·Mustafa KomurCetin Okuyaz
Oct 31, 2016·Survey of Ophthalmology·Melinda Y Chang, Stacy L Pineles
Jun 16, 2018·Journal of Neurology, Neurosurgery, and Psychiatry·Susan P MollanAlexandra J Sinclair
Sep 1, 2018·Current Opinion in Ophthalmology·Gabriela Madriz Peralta, Dean M Cestari
Dec 14, 2018·Neuro-ophthalmology·Edward PalmerAnthony P Wells
Jun 4, 2019·Seminars in Ophthalmology·Ryan GiseGena Heidary
May 10, 2020·International Ophthalmology·Davide AllegriniMario R Romano

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