[Papilledema and acute loss of vision in a patient with pseudotumor cerebri].
METHODS
We report on a 30-year old female with bilateral visual loss within four days. She assured that she had been able to do computer-work until four days before presentation. Ophthalmoscopy and echography established the diagnosis of a bilateral papilledema. Visual acuity was 20/500 in both eyes. Perimetry revealed a small central residual visual field. Further examinations lead to the diagnosis of a primary pseudotumor cerebri.


METHODS
Conservative treatment of the elevated intracranial pressure and ventriculo-peritoneal shunting improved visual acuity and visual field and lead to a decrease of the papilledema. Follow up time was 30 months.


CONCLUSIONS
In a small number of patients pseudotumor cerebri presents with an acute visual loss. Immediate diagnosis and therapy can lead to an improvement of vision.
Groh
M J
MJ
Augenklinik mit Poliklinik, Universität Erlangen-Nürnberg. michael.groh@augen.med.uni-erlangen.de
Jünemann
A
A
D000208:Acute Disease; D000328:Adult; D001766:Blindness / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D013508:Ophthalmologic Surgical Procedures; D010211:Papilledema / Q000150:complications* / Q000209:etiology* / Q000503:physiopathology; D011559:Pseudotumor Cerebri / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery*; D020127:Recovery of Function; D016896:Treatment Outcome; D017287:Ventriculoperitoneal Shunt; D014792:Visual Acuity; D014794:Visual Fields