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May 1990

Unilateral Papilledema in Pseudotumor Cerebri

Author Affiliations

New York, NY

Arch Ophthalmol. 1990;108(5):644-645. doi:10.1001/archopht.1990.01070070030014

Pseudotumor cerebri is a condition of uncertain pathogenesis characterized by increased intracranial pressure in the absence of a mass lesion or hydrocephalus and normal cerebrospinal fluid composition. This disorder is associated with numerous conditions, although many cases may have no identifiable cause. The typical clinical picture of pseudotumor cerebri is that of an obese young woman who presents with headaches that are worse in the morning, transient visual obscurations, and bilateral optic nerve swelling. We report a case of pseudotumor cerebri with unilateral papilledema.

Report of a Case.  —An obese 46-year-old Hispanic woman was seen for evaluation of headaches. Her medical history was significant for hypertension and deep vein thrombosis. On examination, her visual acuity was 20/20 OU. She had normal pupillary responses and color vision. Extraocular motions were full. Anterior segment examination results and intraocular pressure were normal. A dilated fundus examination revealed marked disc edema with dilated capillaries,

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