Benign intracranial hypertension without papilledema: case report

Area of Science:

• Neurology
• Ophthalmology

Background:

• Benign intracranial hypertension (BIH), also known as pseudotumor cerebri, is a neurological disorder.
• It is characterized by increased intracranial pressure (ICP) without an identifiable cause like a tumor.

Observation:

• A case study of an obese young man presenting with typical BIH symptoms.
• The patient exhibited elevated ICP but crucially, no papilledema (optic disc swelling).

Findings:

• The absence of papilledema in BIH is unusual but possible.
• The patient's condition resolved with medical management, indicating successful treatment of BIH.

Implications:

• This case highlights the variability in BIH presentation, particularly regarding papilledema.
• Further research into the specific factors influencing papilledema development in BIH is warranted.