Diferencia entre revisiones de «Papilledema»
Sin resumen de edición |
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| Línea 3: | Línea 3: | ||
===Etiology=== | ===Etiology=== | ||
*Malignant hypertension | *[[Malignant hypertension]] | ||
*Idiopathic intracranial hypertension (pseudotumor cerebri) | *[[Idiopathic intracranial hypertension]] (pseudotumor cerebri) | ||
*Intracranial mass | *Intracranial mass | ||
*Hydrocephalus | *Hydrocephalus | ||
Revisión del 17:18 31 may 2015
Background
- Bilateral optic disc swelling due to increased ICP
Etiology
- Malignant hypertension
- Idiopathic intracranial hypertension (pseudotumor cerebri)
- Intracranial mass
- Hydrocephalus
- Cerebral edema
Clinical Features
- Increased ICP symptoms:
- Headache (esp w/ recumbency and in the morning)
- Nausea and vomiting
- Preservation of visual acuity
- May have visual obscurations that clear completely lasting seconds
Differential Diagnosis
Diagnosis
Fundoscopy
- Loss of spontaneous venous pulsations
- Disc margin blurring
- Cup is diminished or absent
Work-Up
- MRI
- CT (if MRI unavailable)
- LP (if neuroimaging normal)
- Opening pressure >25 considered abnormal
Treatment
- Treat underlying condition