RT Book, Section A1 Chumley, Heidi S. A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164343924 T1 Papilledema T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK dermatology.mhmedical.com/content.aspx?aid=1164343924 RD 2024/03/28 AB A 29-year-old obese woman presented with chronic headaches that were worse in the morning or while lying down. She denied nausea or other neurologic symptoms. She had no other medical problems and took no medications. On examination, she had a visual acuity of 20/20 in both eyes, bilateral papilledema (Figure 24-1), no spontaneous venous pulsations (SVPs), and no other neurologic signs. She had a brain MRI showing no mass or hydrocephalus, and elevated intracranial pressure measured by lumbar puncture. She was diagnosed with idiopathic intracranial hypertension and was followed closely for any changes in her vision. She was started on acetazolamide and assisted with a weight-loss program. Her symptoms resolved over the course of 18 months.