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A case of idiopathic intracranial hypertension with unilateral ocular manifestations, including deformation of the optic nerve head, acquired hyperopia, chorioretinal fold, and dilatation of the subarachnoid space around the optic nerve, without papilledema Hideaki Kawakami 1 , Masayuki Inuzuka 1 , Kiyofumi Mochizuki 2 , Akihiro Koumura 3 , Tetsuya Tanigawara 4 , Yuka Shinohe 5 1Department of Ophthalmology, Gifu Municipal Hospital 2Department of Ophthalmology, JA Gifu, Gihoku-kousei Hospital 3Department of Neurology, Gifu Municipal Hospital 4Department of Neurosurgery, Gifu Municipal Hospital 5Department of Radiology, Gifu Municipal Hospital pp.423-429
Published Date 2024/4/15
DOI https://doi.org/10.11477/mf.1410215139
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Abstract Background:Ocular manifestations of intracranial hypertension tend to occur bilaterally, often with papilledema.

Objective:We report a case of idiopathic intracranial hypertension with unilateral ocular manifestations, including deformation of the optic nerve head, acquired hyperopia, chorioretinal fold, and dilatation of the subarachnoid space around the optic nerve, without papilledema.

Case:A 36-year-old male patient presented with headache and left eye pain, but no abnormal findings were identified. Two years later, ophthalmic examination revealed deformation of the optic nerve head, acquired hyperopia, chorioretinal fold, and peripapillary subarachnoid space enlargement in the left eye. He also had elevated cerebrospinal fluid pressure with no intracranial abnormality. He was diagnosed with idiopathic intracranial hypertension and was prescribed Diamox tablets and Kracie Goreisan extract tablets. During the first 1.5 years of treatment, there was no progression of the disease, but there was no improvement in the ocular condition either.

Conclusion:Intracranial hypertension should be considered in the differential diagnoses of unilateral chorioretinal fold, deformation of the optic nerve head, and acquired hyperopia, even in the absence of papilledema.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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