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July 21, 1962

Pseudopapilledema: Anomalous Elevation of Optic Disk: Pitfalls in Diagnosis and Management

Author Affiliations

San Francisco
From the departments of ophthalmology and neurological surgery, University of California Medical Center.

JAMA. 1962;181(3):191-196. doi:10.1001/jama.1962.03050290013003

Anomalous optic disk elevation is not uncommon. Buried hyaline bodies in the tissue of the optic disk were considered the major cause of diagnostically troublesome pseudopapilledema in 28 patients originally thought to have brain tumors. Many of these patients had undergone numerous consultations and diagnostic procedures, including burr holes and ventriculography, before a mistaken diagnosis of papilledema was rectified. A noncongested, irregularly elevated optic disk which lacks a physiologic cup and which has no pathologic alteration in the retinal blood vessels should always suggest a diagnosis of pseudopapilledema. Management of a patient with such disk elevations should be conservative, provided that his other symptoms do not indicate neurosurgical investigation for brain tumor.

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