EurekaMag
+ Translate
+ Most Popular
Gaucher's disease;thirty-two years experience at Siriraj Hospital
A study of Macrobathra Meyrick from China (Lepidoptera, Cosmopterigidae)
First occurrence in ores of tetragonal chalcocite
Effects of trace element nutrition on sleep patterns in adult women
N.Z. range management guidelines. 2. Design of grazing management systems for tussock country
A case of lipoma of the esophagus
A revision of world Acanthosomatidae (Heteroptera: Pentatomidae): keys to and descriptions of subfamilies, tribes and genera, with designation of types
Life history of the coronate scyphozoan Linuche unguiculata (Swartz, 1788)
Perceptual restoration of obliterated sounds
Mutagenicity studies on two chromium(III) coordination compounds
The formation of the skeleton. I. Growth of a long bone. 1st appearance of a center of calcification
Leucopenia and abnormal liver function in travellers on malaria chemoprophylaxis
The joint commission: four key root causes loom large in sentinel event data
Treatment of vitiligo with topical 15% lactic acid solution in combination with ultra violet-A
Behaviour of dairy cows within three hours after feed supply: I. Influence of housing type and time elapsing after feed supply
Observations of the propagation velocity and formation mechanism of burst fractures caused by gunshot
Management and control of patients with type 2 diabetes mellitus in Lebanon: results from the International Diabetes Management Practices Study (IDMPS)
The diet composition and nutritional knowledge of patients with anorexia nervosa
Physoporella croatica Herak, 1958 of the Slovak karst Anisian (Slovakia, the West Carpathians Mts.)
Bright lights, big noise. How effective are vehicle warning systems?
Ein Plesiosaurier-Rest mit Magensteinen aus mittlerem Lias von Quedlinburg
Incidence of Chlamydia trachomatis in patients with sterility
Monster soup: the microscope and Victorian fantasy
Preliminary tests with residual sprays against poultry lice
Duration of the life of plants in phylogeny

Papilledema: the vexing issues


Papilledema: the vexing issues



Journal of Neuro-Ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society 31(2): 175-186



ISSN/ISBN: 1070-8022

PMID: 21593630

DOI: 10.1097/wno.0b013e31821a8b0b

Papilledema has long been recognized as a valuable sign of increased intracranial pressure (ICP). But because papilledema is based on interruption of the energy-dependent process of axoplasmic flow, it appears late after a rise in ICP. Papilledema is usually present in chronically high ICP but sometimes asymmetrically in the 2 eyes and rarely in 1 eye only. Distinguishing it from other optic neuropathies that produce elevated optic discs is challenging, especially in the chronic phase, when visual function may be impaired. Papilledema is often an unrecognized cause of optic disc edema in inflammatory and compressive meningeal disorders that interfere with cerebrospinal fluid (CSF) passage through the arachnoid granulations. Its detection is particularly critical in patients with noncompliant ventricles or extraventricular blockage of cerebrospinal flow because imaging may fail to disclose conventional signs of high ICP. Therefore, patients with indwelling CSF shunts, tuberous sclerosis, chronic granulomatous meningitis, or meningiomatosis should be periodically examined for papilledema so that timely ICP-lowering measures can be instituted to preserve vision.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 054857834

Download citation: RISBibTeXText

Related references

Lazarus's Vexing Research Problems Are Even More Vexing Than He Thinks. Psychological Inquiry 6(3): 228-230, 1995

Data bank reporting requirements pose vexing issues. Physician Executive 18(1): 53-54, 1992

Health Psychology in the United States: a Critique and Selective Review. Applied Psychology 47(2): 199-217, 1998

Issues in the diagnosis and management of the papilledema shunt. Journal of Neuro-Ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society 34(3): 259-263, 2014

"Twin peaks" papilledema: the appearance of papilledema with optic tract atrophy. Canadian Journal of Ophthalmology. Journal Canadien d'Ophtalmologie 11(4): 279-281, 1976

Papilledema and asymptomatic intracranial hypertension in systemic lupus erythematosus. A fluorescein angiographic study of resolving papilledema. Archives of Ophthalmology 80(2): 189-193, 1968

Periorbital pressure and papilledema.Papilledema, episcleral glaucoma and tinnitus in multiple dura fistulas and sinus thrombosis. Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft 95(12): 844-845, 1998

Papilledema, with Special Reference to Papilledema Associated with Sinus Disease. Transactions of the American Ophthalmological Society 33: 480-507, 1935

Distinct papilledema in pseudotumor cerebri in vitamin A hypervitaminosis. A 35-year-old patient with distinct papilledema and double-image perception. Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft 97(7): 512-513, 2000

Pathogenesis of hypertensive papilledema. Part 2. The influence of hypertensive papilledema on the retina. Nippon Ganka Gakkai Zasshi 86(10): 1709-1714, 1982

Acute papilledema. A 69-year-old patient with acute bilateral papilledema. Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft 98(2): 212-213, 2001

Vexing variability. Farm Industry News 34(8): 8, 2001

A vexing vaccination. Nursing Times 94(47): 75-78, 1998

Vexing vesicles. American Journal of Medicine 120(7): 589-590, 2007

ACA's most vexing questions. Medical Economics 90(17): 14-6 18 20-1, 2013