Unilateral swollen disc due to increased intracranial pressure.

Huna-Baron, R; Landau, K; Rosenberg, M; Warren, F A; Kupersmith, M J · Neurology · 2001

case_series · Level IV

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Abstract

Truly unilateral papilledema is rare and poses a diagnostic problem. The authors have prospectively looked for patients with truly unilateral papilledema and found 15 patients, 10 of whom had idiopathic intracranial hypertension. Neuroimaging did not indicate a reason for the lack of swelling in the other nerve. The visual deficits and outcomes were similar to those of patients with bilateral papilledema. Although monocular papilledema is uncommon, a lumbar puncture with opening pressure measurement should be considered.

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