𝔖 Bobbio Scriptorium
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Diabetes mellitus, papilloedema, benign intracranial hypertension

✍ Scribed by Singh, B M ;Kilvert, J A ;Fitzgerald, M G


Publisher
John Wiley and Sons
Year
1992
Tongue
English
Weight
238 KB
Volume
9
Category
Article
ISSN
1357-8170

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✦ Synopsis


Abstract

Two cases are outlined of patients with visual deterioration due to papilloedema that may have easily been attributed to an anterior ischaemic optic neuropathy if a lumbar puncture diagnostic of benign intracranial hypertension (cerebrospinal fluid pressure > 200mm) had been omitted, with the consequent missed opportunity for beneficial vision‐saving therapeutic intervention. In one case hypothalamic pituitary dysfunction, a known association of benign intracranial hypertension, was documented during an insulin hypoglycaemia stress test, and this may have contributed to sudden onset of unheralded severe hypoglycaemia. The chance co‐occurrence of benign intracranial hypertension and diabetes mellitus may present clinical problems that require careful consideration of the differential diagnosis.


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