Work

Idiopathic intracranial hypertension presenting as bilateral palpebral venous engorgement

Year: 2024

Type: article

Abstract: Purpose: To report the case of a woman in her fifties whose presenting symptom of idiopathic intracranial hypertension was engorgement of the eyelid veins. Observations: Bilateral engorged palpebral veins were visible through the skin. Dilated fundus examination revealed bilateral optic disc edema. Magnetic resonance imaging revealed bilateral posterior globe flattening and empty sella. Magnetic resonance venogram revealed unilateral transverse sinus stenosis. Lumbar puncture revealed elevated opening pressure. All other initial diagnostic tests were negative. Conclusions and importance: Idiopathic intracranial hypertension (IIH) typically presents with headache, vision changes, and weight gain. Palpebral venous engorgement has to the authors' knowledge not been previously reported as a presenting sign of IIH. Physicians should recognize this finding and its potential association with elevated intracranial pressure.

Source: American Journal of Ophthalmology Case Reports

DOI: 10.1016/j.ajoc.2024.102177

Authors: Samantha D. Butterfield, Rona Z. Silkiss

Institution: California Pacific Medical Center

Language: English

Topic: Cerebral Venous Sinus Thrombosis

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,340