This healthy 40yo female presented with chronic headaches. She was on no systemic medications, and her blood pressure was normal. Her nerves were swollen bilaterally, and a myelinated nerve fiber layer was also noted in her left eye.
The retinal nerve fiber layer on OCT was severely thickened bilaterally.
Learning Points:
The diagnosis of idiopathic intracranial hypertension (pseudotumor cerebri) was made after an MRI scan was normal and a lumbar puncture revealed a markedly elevated opening pressure.
She is currently being successfully managed with oral acetazolamide.
