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Papilledema and ischemic edema of the optic nerve head


Authors: Naďa Jirásková;  Jan Studnička;  Pavel Rozsíval
Authors‘ workplace: Oční klinika, Lékařská fakulta UK a FN, Hradec Králové
Published in: Čas. Lék. čes. 2012; 151: 527-530
Category: Case Report

Overview

The authors report an unusual case of two etiologically different forms of the optic nerve head edema consequently occurring in short time interval: ischemic optic nerve edema and papilledema. A 58-year old woman was diagnosed with papilledema in the course of idiopathic intracranial hypertension. After successful treatment both papilledema and subjective symptoms subsided during 5 months. Three months later she was presented with worsening of visual functions in her left eye and anterior ischemic optic neuropathy was diagnosed. On this rare case we would like to emphasize the necessity of proper differential diagnosis of optic nerve head edema in relation with the treatment and prognosis.

Key words:
idiopathic intracranial hypertension, papilledema, ischemic optic neuropathy, visual functions.


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Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management
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