Papilloedema in a patient with idiopathic intracranial hypertension.

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1 Copyright © 2014 Elsevier Inc. All rights reserved. Chapter 24 Neuro-ophthalmology in Medicine E.R. Eggenberger and J. Pula.
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OCT left eye (case 3). OCT showed bilateral foveal atrophy (white arrows), with an island of preserved retina in the left fovea (yellow arrow; only left.
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Fundal photograph (A) and autofluorescence (B) (Case 1)
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(case 6)  (A) Fundus photography showing subtle discrete areas of RPE atrophy (green areas). (case 6)  (A) Fundus photography showing subtle discrete areas.
Frisén stages of papilloedema.
‘Poppers’ retinopathy.
Case one: (A and B) Right and left colour fundus photographs of the optic nerve head showing small crowded discs with anomalous branching of the blood.
Photograph of the legs of a patient with inherited erythromelalgia, showing erythema to the level of the mid-calf. Photograph of the legs of a patient.
MRI scans show coronal sections of the brain and right hippocampus at baseline, 9 months, 2 years (when he was diagnosed with mild cognitive impairment)
Cloverleaf pattern on Humphrey visual fields.
Schematic representation of hepatitis E virus (HEV) genotype 3 in developed countries. Schematic representation of hepatitis E virus (HEV) genotype 3 in.
Single colour fundus photographs of patients with disc swelling secondary to raised intracranial pressure (papilloedema). Single colour fundus photographs.
Fundus photographs showing pale discs and retinal vessel attenuation.
Case 2—Urgent CSF divergence surgery restored visual function.
Confocal images of skin biopsies taken from the legs of a control subject (A) and a patient with small fibre neuropathy secondary to HIV (B) showing PGP.
Susceptibility-weighted MRI of ex vivo hippocampal tissue.
Single colour fundus photographs of pseudopapilloedema in patients initially thought to have IIH. (A) Elevated, lumpy disc with anomalous vascular pattern.
Optical coherence tomography showing thinning of the retinal nerve fibre layer (RNFL) 1 month postquinine overdose.  OU, oculus uterque (both eyes); OD,
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Goldmann visual fields of a patient with ‘stacked isopters’.
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Indocyanine green angiography (ICG) and fluorescein angiography (FA) of the right eye (case 8). Indocyanine green angiography (ICG) and fluorescein angiography.
Confocal images of skin biopsies taken from the legs of a control subject (A) and a patient with small fibre neuropathy secondary to HIV (B) showing PGP.
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Schematic representation of the visual pathway and the location of lesion leading to the temporal crescent syndrome. Schematic representation of the visual.
Goldmann machine. Goldmann machine. The patient's eye is positioned at the centre of a white hemispheric bowl, with the examiner looking through an eyepiece.
Humphrey perimetry (SITA-Standard 24–2): (A) 1 month postquinine overdose, showing marked constriction of the visual field; (B) 6 months postquinine overdose,
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Frisén stages of papilloedema.
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Autofluorescence left eye (case 3)
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(A) Frontalis test: unilateral injection of the frontalis muscle with botulinum toxin (BoNT). (A) Frontalis test: unilateral injection of the frontalis.
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(A) Vasospasm with cyanosis and oedema, Terry’s nails, and facial flushing, rash and oedema; (B) After third intravenous immunoglobulin infusion, face.
 Ocular abnormalities.  Ocular abnormalities. (A) Anterior ischaemic optic neuropathy—note swelling of the optic disc. (B) Acute central retinal artery.
 Brain imaging from a 75 year old woman presenting six weeks after a left hemisphere stroke.  Brain imaging from a 75 year old woman presenting six weeks.
MR scan of brain (coronal sections of fluid attenuation inversion recovery (FLAIR) sequences) in a patient with corticobasal syndrome, showing generalised.
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(A) Clinical selection of scapular muscles depending on the side of the elevation of the shoulder in a patient with dystonic head rotation. (A) Clinical.
Pituitary macroadenoma: T1W sagittal (A) and coronal (B) and T1W gadolinium-enhanced coronal (C) images of the pituitary fossa show expansion of the sella.
The right hand of the same patient as in figure 1, photographed from the ulnar side, showing dorsolateral nodes in profile on the index and ring fingers,
Pituitary apoplexy. Pituitary apoplexy. T1W sagittal and T1W coronal images of the pituitary fossa show a pituitary mass, almost certainly a macroadenoma,
Neuro-ophthalmological investigations.
Presentation transcript:

Papilloedema in a patient with idiopathic intracranial hypertension. Papilloedema in a patient with idiopathic intracranial hypertension. This photograph shows several key findings that, in combination, are quite specific for true optic disc oedema, including peripapillary retinal folds (concentric arcs identified by dashed arrows), partial optic disc vessel obscuration (double arrow) and a small focal haemorrhage (arrow). Devin D Mackay, and Beau B Bruce Pract Neurol 2016;16:343-351 ©2016 by BMJ Publishing Group Ltd