• Am J Emerg Med · Oct 2017

    Case Reports

    BLIND OVERNIGHT: A case of fulminant idiopathic intracranial hypertension.

    • Janpreet Singh Bhandohal and Taimur Mirza.
    • Department of Internal Medicine, New York Medical College at Metropolitan Hospital Center, 1901 First avenue, New York, NY 10029, United States. Electronic address: jpsbhandohal87@gmail.com.
    • Am J Emerg Med. 2017 Oct 1; 35 (10): 1581.e1-1581.e2.

    AbstractIdiopathic Intracranial Hypertension (IIH) is a syndrome seen predominantly in obese women of reproductive age group, characterized by signs and symptoms of increased intracranial pressure due to an unknown cause. Some individuals have a more malignant form of disease called fulminant idiopathic intracranial hypertension with rapid worsening of symptoms over days. We report a case of 33year-old obese female (BMI 36.9) who presented with a severe headache and blurred vision for one week, found to have idiopathic intracranial hypertension with rapid worsening of symptoms suggestive of a fulminant course of disease. She was managed with prompt surgical intervention. In patients with fulminant idiopathic intracranial hypertension, surgery such as cerebrospinal fluid shunting or optic nerve sheath fenestration should not be delayed to prevent vision loss.Published by Elsevier Inc.

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