Papilledema Secondary to Idiopathic Intracranial Hypertension Mimicking Hypertensive Retinopathy-induced Disc Swelling: A Case Report

  • Kurosawa Shimon
    Division of Ophthalmology and Visual Science, Graduate School of Medical and Dental Sciences, Niigata University
  • Ueki Satoshi
    Division of Ophthalmology and Visual Science, Graduate School of Medical and Dental Sciences, Niigata University Center for Integrated Human Brain Science, Brain Research Institute, Niigata University
  • Kiyokawa Megumi
    Division of Ophthalmology and Visual Science, Graduate School of Medical and Dental Sciences, Niigata University
  • Hatase Tetsuhisa
    Division of Ophthalmology and Visual Science, Graduate School of Medical and Dental Sciences, Niigata University Imai Eye Clinic
  • Fukuchi Takeo
    Division of Ophthalmology and Visual Science, Graduate School of Medical and Dental Sciences, Niigata University

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  • 高血圧性網膜症による乳頭腫脹と鑑別を要した特発性頭蓋内圧亢進症による うっ血乳頭の1例

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<p> We report a case of papilledema secondary to idiopathic intracranial hypertension with hypertensive retinopathy. A 42-year-old woman with a history of untreated systemic hypertension showed severe bilateral optic disc swelling with retinochoroidal folds involving maculas, as well as retinal hemorrhages, hard exudates, and cotton-wool patches on ophthalmoscopic examination. Magnetic resonance imaging and cerebrospinal fluid evaluation revealed idiopathic intracranial hypertension, and she underwent lumboperitoneal shunt placement. The optic disc findings in this patient mimicked those associated with hypertensive retinopathy-induced disc swelling. We discuss a differential diagnosis of papilledema secondary to idiopathic intracranial hypertension.</p>

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