Emergencies in Neuro-Ophthalmology: A Case Based Approach

started on acetazolamide 500 mg TID but the disc edema persisted and she underwent optic nerve sheath fenestration OD. After surgery the disc edema improved dramatically, the headache resolved, and the vision returned to 20/40 OU with a mild residual relative central scotoma OU. The serous macular fluid resolved but she was left with moderate retinal pigment epithelium (RPE) changes OU in the macula.

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Biousse V, Ameri A, Bousser M-G. (1999) Isolated intracranial hypertension as the only sign of cerebral venous thrombosis. Neurology 53:1537–1542.

Lin A, Foroozan R, Danesh-Meyer HV, et al. (2006) Occurrence of cerebral venous sinus thrombosis in patients with presumed idiopathic intracranial hypertension. Ophthalmology 113:2281–2284.

Sylaja PN, Ahsan Moosa NV, Radhakrishnan K, et al. (2003) Differential diagnosis of patients with intracranial sinus venous thrombosis related isolated intracranial hypertension from those with idiopathic intracranial hypertension. J Neurol Sci 215:9–12.

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