title: Complete ophthalmoplegia: A rare presentation of idiopathic intracranial hypertension.
abstract: Idiopathic intracranial hypertension (IIH) is a disorder defined by clinical criteria that include signs and symptoms isolated to those produced by increased intracranial pressure (ICP; e. g., headache, papilledema, and vision loss), elevated ICP with normal cerebrospinal fluid (CSF) composition, and no other cause of intracranial hypertension evident on neuroimaging or other evaluations. The most common signs in IIH are papilledema, visual field loss, and unilateral or bilateral sixth cranial nerve palsy. Here we report a case of IIH presenting as headache with vision loss, papilledema, complete ophthalmoplegia with proptosis in one eye, and sixth cranial nerve palsy in the other eye. Patient was managed with acetazolamide, topiramate, and diuretics. Symptoms remained static and she was planned for urgent CSF diversion procedure.
authors.affiliation: Department of Neurology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
authors.forename: Irfan Yousuf
authors.initials: IY
authors.lastname: Wani
authors.affiliation: Department of Neurology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
authors.forename: Sawan
authors.initials: S
authors.lastname: Verma
authors.affiliation: Department of Neurology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
authors.forename: Mushtaq
authors.initials: M
authors.lastname: Wani
authors.affiliation: Department of Neurology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
authors.forename: Ravouf
authors.initials: R
authors.lastname: Asimi
authors.affiliation: Department of Neurology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
authors.forename: Saleem
authors.initials: S
authors.lastname: Sheikh
authors.affiliation: Department of Neurology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
authors.forename: Maqbool
authors.initials: M
authors.lastname: Wani
authors.affiliation: Department of Neurology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
authors.forename: Nawaz
authors.initials: N
authors.lastname: Sheikh
authors.affiliation: Department of Neurology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
authors.forename: Irfan
authors.initials: I
authors.lastname: Shah
authors.affiliation: Department of Neurology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
authors.forename: Mudasir
authors.initials: M
authors.lastname: Mushtaq
keywords: Idiopathic intracranial hypertension; headache; ophthalmoplegia