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July 1957

Bilateral Papilledema in Otherwise Well Patients

Author Affiliations

San Francisco
From The Division of Ophthalmology, Department of Surgery, Stanford University School of Medicine.

AMA Arch Ophthalmol. 1957;58(1):59-65. doi:10.1001/archopht.1957.00940010071006

The ophthalmologist is frequently called upon to evaluate a case in which bilateral papilledema is the only finding. Information concerning such a condition is abundant in neurological and neurosurgical journals, but relatively little has been written in the ophthalmological literature. It is, therefore, the purpose of this paper to review the available information; discuss the etiology, differential diagnosis, and treatment of this disease, and add a detailed report of a further case.

Briefly, the syndrome is manifested by a patient who feels generally well, may have an occasional headache, may complain of blurred vision, and may have tinnitus, vertigo, or dizziness. Diplopia and abducens palsies may occur.1 General physical examinations are negative. Papilledema, most generally bilateral, is present and reaches from 2 to 5 or 6 D. Hemorrhages and exudates on and near the optic nerve head are frequently present. There are no ventricular abnormalities, focal neurological signs, or