A 30-year-old woman with a high BMI presents with headaches. What is your diagnosis?

Neuro Coach #2

Analysis

Both optic discs demonstrate mild (grade 1) nasal disc swelling. In addition, just superior to the right disc, there is a flame-shaped hemorrhage (and another hemorrhage nasal to the disc). The patient's OCTs of the disc demonstrated elevation and the visual field testing showed bilateral enlargement of the blind spot (video).

The patient was diagnosed with idiopathic intracranial hypertension (IIH).

In the accompanying 16 min. video featuring Dr. Paul Freund, Assistant Professor at Dalhousie University in Halifax, you will :

  • Learn the risk factors for developing IIH
  • Review the Modified Dandy Criterial for diagnosing IIH
  • Review the management of IIH
 

Neuro Coach Tip

In any patient with disc swelling an assessment includes calculation of BMI and a thorough medication history.

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