This patient had papilledema with severe disc hemorhages. MRI detected a compressive meningioma as the cause for the elevated intracranial pressure.
Learning Points:
Optic nerve swelling has numerous causes, including neurologic (optic neuritis and elevated intracranial pressure) and retinal (retinal vein occlusion, neuroretinitis, sarcoidosis, Harada’s) causes.
Bilateral optic nerve swelling due to elevated intracranial pressure is known as papilledema.
Neurologic imaging is important to establish the correct diagnosis.
