Unilateral papilledema in asymptomatic elderly male: An uncommon presentation of idiopathic intracranial hypertension

VIPIN RANA; Dr VK Patra; Dr Atul Gupta

Volume : IX, Issue : VII, July - 2019

Unilateral papilledema in asymptomatic elderly male: An uncommon presentation of idiopathic intracranial hypertension

Vipin Rana, Dr Vk Patra, Dr Atul Gupta

Abstract :

Asymptomatic unilateral papilledema is an atypical presenting sign of Idiopathic intracranial hypertension (IIH). We report a rare case of a 65 year old elderly male of medium built who was asymptomatic and reported for the routine eye check up. Ocular examination revealed optic disc swelling in the left eye. Subsequent contrast enhanced Magnetic Resonance Imaging of the ain and orbit revealed features of widened and partially empty sella. Lumbar puncture revealed an elevated opening cereospinal fluid pressure of 268 mm of water thus diagnosis of IIH was made. He was subsequently treated with oral tablet acetazolamide. Therefore in cases of unilateral disc edema where patient is asymptomatic, diagnosis of IIH should always be kept in mind irrespective of the age group and gender of the patient