IOTW: Papilledema

Posted on: September 30, 2019, by :

17 yo obese F on minocycline with headache. Pt found to have papilledema on ophtho US. Her cranial imaging was normal and she had an LP for presumed idiopathic intracranial hypertension. Her ICP was super high and 35 cc of CSF were removed with resolution of headache. Optic discs are considered elevated if they are raised 1mm above the retina. Of note, this eyeball is a little compressed. Be sure to brace on the patient’s forehead or nasal bridge when performing ophtho ultrasound so as not to squash the eyeball.

“The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share them, or otherwise use them for any other purpose.”

Joanna Cohen

Pediatric Emergency Medicine Attending/Director of Pediatric Ultrasound at Children's National Health System
Joanna is originally from NY where she attended medical school at Downstate in Brooklyn. She completed her pediatric residency at Johns Hopkins and made her way south to DC for PEM and ultrasound fellowships. She has remained in DC, making her home in Capitol Hill since 2005. She stays busy mostly attending youth soccer games with her three kids and running.
Joanna Cohen

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