Diabetes mellitus, papilloedema, benign intracranial hypertension
β 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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β¦ 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 visionβsaving 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 coβoccurrence of benign intracranial hypertension and diabetes mellitus may present clinical problems that require careful consideration of the differential diagnosis.
π SIMILAR VOLUMES
The combination of the empty sella syndrome (ESS) and benign intxacranial hypertension (BIH) is illustrated by two case histories. The causal relationship between the ESS and the BIH can be explained by two mechanisms. Raised intracranial pressure could produce a herniation of the subarachnoid ciste