This is a beautiful example of papilledema in a patient with idiopathic intracranial hypertension (pseudotumor cerebri).
This patient had an opening lumbar puncture pressure of 28 cm H2O.
Note the absence of lipid, which, for some reason, is much more common in patients with malignant hypertension or neuroretinitis.
Learning Points:
Remember that papilledema is not synonymous with optic nerve swelling. Papilledema is defined as bilateral optic nerve swelling due to elevated intracranial pressure.
