'Should have gone to...': bilateral papilloedema with normal CSF pressure due to vestibular schwannoma

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dc.check.date2021-06-12
dc.check.infoAccess to this article is restricted until 6 months after publication by request of the publisher.en
dc.contributor.authorRonan, Geoffrey Peter
dc.contributor.authorGailani, Gaafar
dc.contributor.authorCostello, Ciara
dc.contributor.authorSweeney, Brian
dc.date.accessioned2021-02-01T16:10:09Z
dc.date.available2021-02-01T16:10:09Z
dc.date.issued2020-12-12
dc.date.updated2021-02-01T15:09:48Z
dc.description.abstractA 24-year-old woman presented with bilateral blurring of her distance vision and 'dizzy spells'. She had no other neurological symptoms or medical history. She consulted an optometrist, and optical coherence tomography (OCT) was performed, which demonstrated papilloedema. She was referred to the local eye clinic for assessment and from there was referred for neurological assessment.Her initial investigations revealed no abnormalities, and brain imaging was reported to be normal. In the absence of an alternative diagnosis, idiopathic intracranial hypertension (IIH) was considered and a lumbar puncture was performed. This showed elevated protein but normal cerebrospinal fluid (CSF) pressure. MRI of the brain the next day revealed a large cerebellopontine lesion in keeping with vestibular schwannoma. She was referred to neurosurgery for operative management.This case highlights three interesting points: the aetiology of her papilloedema without raised intracranial pressure, the decision to perform a lumbar puncture in suspected IIH and community OCT as a clinical adjunct.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleide239406en
dc.identifier.citationRonan, G. P., Gailani, G., Costello, C. and Sweeney, B. (2020) 'Should have gone to...': bilateral papilloedema with normal CSF pressure due to vestibular schwannoma', BMJ case reports, 13(12), e239406 (3pp). doi: 10.1136/bcr-2020-239406en
dc.identifier.doi10.1136/bcr-2020-239406en
dc.identifier.eissn1757-790X
dc.identifier.endpage3en
dc.identifier.issued12en
dc.identifier.journaltitleBMJ Case Reportsen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/11011
dc.identifier.volume13en
dc.language.isoenen
dc.publisherBMJ Publishing Groupen
dc.rights© 2020, BMJ Publishing Group Ltd. This article has been accepted for publication in BMJ Case Reports following peer review, and the Version of Record can be accessed online at https://dx.doi.org/10.1136/10.1136/bcr-2020-239406. Reuse of this manuscript version (excluding any databases, tables, diagrams, photographs and other images or illustrative material included where a another copyright owner is identified) is permitted strictly pursuant to the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC-BY-NC 4.0) licence.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectBilateral papilloedemaen
dc.subjectIdiopathic intracranial hypertensionen
dc.subjectLumbar punctureen
dc.title'Should have gone to...': bilateral papilloedema with normal CSF pressure due to vestibular schwannomaen
dc.typeArticle (peer-reviewed)en
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