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Revista mexicana de oftalmología
versión On-line ISSN 2604-1227versión impresa ISSN 0187-4519
Resumen
GARZA-URROZ, Yvette M.; CHAVEZ-CARAZA, Karla L. y FRANCO-LOPEZ, Ingrid. Severe ocular damage secondary to a pseudotumor cerebri. Rev. mex. oftalmol [online]. 2019, vol.93, n.2, pp.89-92. Epub 06-Ago-2021. ISSN 2604-1227. https://doi.org/10.24875/rmoe.m19000053.
Introduction:
Pseudotumor cerebri causes symptoms of intracranial hypertension and visual alterations secondary to damage to the optic nerve and the retina.
Case Report:
Hispanic 11-year-old male, obese. Presents to ER with recurrent visual alterations and vomit. Besides arterial hypertension and fundoscopy with hemorrhages, exudate, papilledema and silver-wire vessels. With a normal cranium tomography and a cerebrospinal fluid pressure of 38 cm H2O, management was started for pseudotumor cerebri. Visual recovery was limited due to severe damage to the retina and the optic nerve.
Conclusions:
In pseudotumor cerebri, visual damage can be permanent if proper treatment is not initiated early. With extensive retinopathy, malignant hypertension must be ruled out.
Palabras llave : Pseudotumor cerebri; Malignant hypertension; Retinopathy; Papilledema.
