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Related Experiment Videos

Optic nerve head drusen and pseudotumor cerebri.

B Katz1, P Van Patten, J F Rothrock

  • 1Department of Ophthalmology, University of California, San Diego, La Jolla 92093.

Archives of Neurology
|January 1, 1988
PubMed
Summary

This case study highlights a patient with pseudotumor cerebri and optic disc drusen, emphasizing diagnostic challenges. Surgical intervention resolved severe headaches, improving patient outcomes.

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Area of Science:

  • Ophthalmology
  • Neurology

Background:

  • Idiopathic intracranial hypertension (IIH), also known as pseudotumor cerebri, presents with increased intracranial pressure.
  • Optic disc drusen are calcified deposits within the optic nerve head, which can mimic papilledema.

Observation:

  • A 42-year-old woman experienced persistent headaches and visual disturbances.
  • Funduscopic examination revealed elevated optic disc margins and bilateral optic nerve head drusen.
  • Diagnostic imaging confirmed pseudotumor cerebri coexisting with optic disc drusen.

Findings:

  • The patient's headaches were refractory to medical management, including acetazolamide and furosemide.
  • Visual loss was confirmed by formal perimetry.
  • A lumbar peritoneal shunt was surgically placed.

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Implications:

  • This case underscores the potential for diagnostic confusion between pseudotumor cerebri and optic disc drusen.
  • Surgical management, such as a lumbar peritoneal shunt, can be effective for refractory headaches in IIH.
  • Recognizing the association between these conditions is crucial for accurate diagnosis and treatment.