Unilateral swollen disc due to increased intracranial pressure.
Truly unilateral papilledema is rare and poses a diagnostic problem. The authors have prospectively looked for patients with truly unilateral papilledema and found 15 patients, 10 of whom had idiopathic intracranial hypertension. Neuroimaging did not indicate a reason for the lack of swelling in the other nerve. The visual deficits and outcomes were similar to those of patients with bilateral papilledema. Although monocular papilledema is uncommon, a lumbar puncture with opening pressure measurement should be considered.
Huna-Baron
R
R
Goldschleger Eye Institute, Sheba Medical Center, Tel- Hashomer, Israel.
Landau
K
K
Rosenberg
M
M
Warren
F A
FA
Kupersmith
M J
MJ
D000293:Adolescent; D000328:Adult; D005260:Female; D007839:Functional Laterality; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010211:Papilledema / Q000473:pathology*; D011446:Prospective Studies; D014057:Tomography, X-Ray Computed