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Diagnostic difficulties in a case of pseudotumor cerebri with empty sella Miwako Iwasaki 1 , Michiko Terai 1 , Eri Yamada 1 , Haruhiko Yamada 1 , Hiroshi Matsunaga 1 , Yoshie Matsui 2 , Miyo Matsumura 1 1Dept of Ophthalomol, Kansai Med Univ 2Dept of Ophthalomol, Kyoto Katsura Hosp pp.1151-1155
Published Date 2002/6/15
DOI https://doi.org/10.11477/mf.1410907804
  • Abstract
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A 49-year-old female presented with bilateral ocular pain and visual disturbance in her right eye. Her corrected visual acuity was 0.9 right and 1.0 left. No funduscopic abnormalities were present. Six months later, the corrected visual acuity became 0.5 in either eye associated with decreased sensitivity in the superior visual field. Magnetic resonance imaging (MRI) showed empty sella as the sole disorder. She had no papilledema but was extremely obese, suggesting pseudopapilledema. The cerebreospinal fluid pressure was elevated to 220 mmH2O. Systemic carbonic anhydrase inhibitor induced immediate improvement in her symptoms followed by normalization in her visual acuity and visual field 3 months later. This case illustrates that pseudotumor cerebri with empty sella may occur in a highly obese person in the absence of papilledema.


Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.

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

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