A Rare Case of Benign Intracranial Hypertension with Bilateral Complete Visual Loss and Sixth Nerve Paresis
Journal Title: Journal of Clinical Research and Ophthalmology - Year 2015, Vol 2, Issue 3
Abstract
Introduction: Benign intracranial hypertension (BIH) is a disorder defined by symptoms and signs suggestive of increased intracranial pressure (ICP) in the absence of any cause evident on neuroimaging or other evaluations. Usually the disease has a variable outcome but chances of severe visual loss are only 6%. Methods: We report a case of 50 year old lady who presented to us with severe headache. Visual acuity was 20/20 both eyes. Anterior segment was within normal limit. Post segment evaluation revealed bilateral disc oedema. Thorough radiological and neurological examination confirmed diagnosis of Benign intracranial hypertension (BIH). We advised medical treatment and referred the patient to Neurology OPD for further management. She was lost to follow up to us for 4 months. She discontinued medicines in between. Her vision was 20/200 and fundus showed atrophic disc edema. We restarted previous medicines and referred to Neurology where she was admitted and managed conservatively. Finally she presented after 2 months with no perception of light both eyes. Examination revealed bilateral afferent pupillary defect and sixth nerve paresis. Fundus showed bilateral disc pallor. Conclusion: Our endeavor is to document that BIH is not always benign condition. A multidisciplinary approach should be taken to look for early progression and appropriate intervention.
Authors and Affiliations
Chandana Chakraborti, Nabanita Barua, Sheuli Kumar, Rosy Chishti
Keywords
Related Articles
- EP ID EP230710
- DOI 10.17352/2455-1414.000017
- Views 111
- Downloads 0
Causes of avoidable blindness in Parakou
Introduction: Blindness and severe visual impairments have huge consequences on the socioeconomic development of individuals and human communities.
The Association of Dry Eye Symptoms with Socioeconomic Factors and Quality of Life
Purpose: Dry eye is a common condition with significant morbidity and socioeconomic burden. The associated demographic factors that worsen utility in dry eye patients were not known. There were many questionnaire instrum...
Patient Adherence to Follow-Up in Clinical Research: A Systematic Review of Measurements, Associated Factors and Intervention Strategies
Objectives: A patient’s adherence to follow-up (AFU) plays a key role in the implementation of clinical research with respect to cost and validity. Most present studies focus exclusively on some specific steps during cli...
Relationship of Serum HbA1c and Fasting Serum Lipids with Central Macular Thickness in Patients with Type 2 Diabetes Mellitus
Background: Diabetic retinopathy, the most common retinal vascular disease, is the leading cause of new-blindness in adults during the third through sixth decades of life. Purpose: To determine the correlation between ce...
A rare case of bilateral acute retinal necrosis due to varicella zoster virus in a patient of Multiple myeloma
Acute retinal necrosis syndrome (ARN) is a well-defined entity with characteristic clinical picture of progressive intraretinal inflammation and necrosis and is caused by one of the members of the Herpes group of viruses...