papilledema


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papilledema

[¦pap·əl·ə′dē·mə]
(medicine)
Edema of the optic disk. Also known as choked disk.
McGraw-Hill Dictionary of Scientific & Technical Terms, 6E, Copyright © 2003 by The McGraw-Hill Companies, Inc.
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Empty sella, tortuosity of the optic nerve, and transverse sinus stenosis were evaluated as 'present' by both raters with perfect agreement in six patients without papilledema, ([kappa]=1.00, p<0.0001).
Recently, a classification of IIH without papilledema has been acknowledged by the International Headache Society.
Currently, the presence of papilledema, normal neurologic exam except for abnormal sixth cranial nerve, normal cerebral spinal fluid, elevated lumbar opening pressure, and normal imaging are needed for a definitive diagnosis.
Neurological examination showed lethargy with neck stiffness and papilledema. Babinski's sign was also observed.
With these new clinical, radiographic, and pathologic findings, there was concern for a CNS small vessel vasculitis possibly secondary to SLE given satisfaction of SLICC criteria which included low C4 and low CH50, high-titer double-stranded DNA, maculopapular rash of the lower extremities, and bilateral papilledema and erythema resulting from cranial neuropathy of the optic nerves.
Examination was remarkable for neck stiffness and bilateral papilledema. General physical, neurological, and systemic examinations were normal.
Bilateral papilledema was found in the fundoscopic examination of the patient whose headache increased gradually.
In his neurological examination, he did not have any pathology other than papilledema and hypoactive deep tendon reflexes.
There were iris pigments on the lens of both eyes; fundus examination revealed papilledema and macular star and edema in the right eye (Figure 1).