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The diagnosis of idiopathic intracranial hypertension (IIH) can be challenging and relies heavily on the proper interpretation of ophthalmoscopy. For many patients, the diagnosis can be straightforward when the typical demographic features, fundus findings of papilledema, neuroimaging signs, and CSF findings are present. In other situations, the diagnosis of IIH may be difficult, particularly when fundus findings are normal, subtle, or complicated by pseudopapilledema (as can occur with optic nerve head drusen). Occasionally, true papilledema may coexist with pseudopapilledema. We must also recognize that a small percentage of patients with IIH will not develop papilledema.1,2
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- © 2015 American Academy of Neurology
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