Zand-Hadas IM, Hernández-Abrego MP

Language: Spanish
References: 4
Page: 242-244
PDF size: 141.80 Kb.

ABSTRACT

We describe a clinical case of a patient with chronic papilledema secondary to chronic intracranial hypertension. The initial diagnostic suspicion was chronic papilledema or bilateral neuroretinitis because of the bilateral papilla edema and an apparent macular star in the right eye. The clinical presentation was not typical of papilledema because the patient referred sudden loss of visual acuity in both eyes, and the clear asymmetry between both eyes. The definitive diagnosis was established the next day, the patient was irritable, with intense cephalalgia and ataxic gait, so she was immediately send to neurosurgery, where the diagnosis was confirmed and the patient was treated. The etiology was craniopharyngioma.

REFERENCES

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4. Karavitaki N, Wass JAH. Craneopharyngiomas. Endocrinol Metab Clin North Am 2008; 37(1):173-193.