Twin and triple peaks papilledema.
OBJECTIVE
To describe 2 adult patients who presented with papilledema after band atrophy (i.e., twin and triple peaks papilledema).


METHODS
Retrospective small case series.


METHODS
Two outpatients.


METHODS
Observations made on 2 patients whose cases were reviewed in the neuro-ophthalmology clinic.


RESULTS
The first patient had a pituitary tumor presenting with papilledema, causing a triple peaks clinical sign. Color photographs, optical coherence tomograms, and magnetic resonance images are shown. The second patient developed twin peaks papilledema due to a chiasmal glioma causing secondary raised intracranial pressure.


CONCLUSIONS
Twin peaks papilledema is a rare clinical sign that may develop in adults as well as in children. The first report and optical coherence tomography features of triple peaks papilledema illustrate a new clinical sign.
Mehta
Jodhbir S
JS
Department of Neuro-ophthalmology, Moorfields Eye Hospital, London, United Kingdom. jodmehta@gmail.com
Plant
Gordon T
GT
Acheson
James F
JF
D000328:Adult; D005260:Female; D005910:Glioma / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D019586:Intracranial Hypertension; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009897:Optic Chiasm / Q000473:pathology*; D019574:Optic Nerve Neoplasms / Q000150:complications* / Q000175:diagnosis; D010211:Papilledema / Q000175:diagnosis / Q000209:etiology*; D010911:Pituitary Neoplasms / Q000150:complications* / Q000175:diagnosis; D015175:Prolactinoma / Q000150:complications* / Q000175:diagnosis; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence