ABSTRACT The present report describes a rare case of bilateral papilledema due to cerebral pseudotumor syndrome (CPT) related to an occasional finding of pituitary microadenoma. We report the case of a 21-year-old female patient presenting low far visual acuity, associated with headache beginning 2 months ago. On ophthalmological examination, fundoscopy showed significant bilateral papilledema. Magnetic resonance imaging of the brain showed symmetrical and normal-sized ventricles, besides a nodular imaging in the pituitary, measuring 7 mm, without any evidence of intracranial […]

We describe a 56-year-old female patient that presented with headache, unilateral optic disc edema and nasal visual field constriction. Laboratory and imaging investigation, clinical findings and response to treatment lead to the diagnosis of idiopathic intracranial hyperthension. We emphasize that unilateral papiledema can be an unusual clinical presentation of the syndrome and discuss its differential diagnosis and treatment.

We report a 41-years-old woman with idiopathic intracranial hyperthension (psedotumor cerebri syndrome) that presented with visual loss in one eye due to subretinal neovascular membrane involving the macular area. Despite the introduction of adequate medical treatment followed by optic nerve sheath fenestration that lead to optic disc edema regression there was no improvement in the subretinal neovascular membrane even after performing three sequential intravitreal injection of bevacizumab. We stress the importance of recognizing this uncommon complication of papilledema and review […]

Pseudotumor cerebri is a syndrome of increased intra-cranial pressure without a space-occupying lesion or ventriculomegaly in a patient with normal level of conscience and normal cerebrospinal fluid constitution. The terminology for the disorder has changed over the years in accordance with advances in diagnostic technology and insights into the disease process. When no secondary cause is identified, the syndrome is termed idiopathic intracranial hypertension. Patients are not uncommonly seen by ophthamologists since they present with papiledema, double vision and visual […]