Neuro-Ophthalmology: Papilledema

Question 0

early, established, chronic, atrophic

Answer 0

four stages of papilledema

Question 1

sixth nerve palsy

Answer 1

false localizing sign in patients with papilledema

Question 2

optic disc edema, loss of spontaneous venous pulsations

Answer 2

two findings in early papilledema

Question 3

NSIT

Answer 3

order of margin involvement in papilledema

Question 4

spontaneous venous pulsations

Answer 4

this finding essentially rules out papilledema

Question 5

established

Answer 5

at which stage of papilledema do symptoms begin

Question 6

flame-shaped hemorrhages, cotton-wool spots, venous engorgement, temporal retinal folds, partial macular star

Answer 6

in addition to worsening disc edema, what findings may be observed in established papilledema (five)

Question 7

champagne-cork appearance

Answer 7

appearance of optic discs in chronic papilledema

Question 8

corpora amylacea, optico-ciliary shunt vessels

Answer 8

new ocular findings in chronic papilledema

Question 9

secondary optic atrophy

Answer 9

type of atrophy seen in atrophic papilledema

Question 10

acute

Answer 10

ID stage of papilledema

Question 11

established

Answer 11

ID stage of papilledema

Question 12

established

Answer 12

ID stage of papilledema

Question 13

chronic

Answer 13

ID stage of papilledema

Question 14

obese women of child-bearing age

Answer 14

90% of patients with idiopathic intracranial hypertension fit this description

Question 15

iron, tetracycline, nalidixic acid, vitamin A, isotretinoin, cyclosporine, OCPs, synthetic growth hormone

Answer 15

six drugs that may cause idiopathic intracranial hypertension

Question 16

OSA

Answer 16

disease association of IIH

Question 17

empty sella, patulous optic nerve sheaths

Answer 17

what two things may be found on neuroimaging in patients with IIH

Question 18

venous sinus thrombosis

Answer 18

diagnosis that must be excluded in patients with suspected IIH (other than mass lesion, etc.)

Question 19

acetazolamide

Answer 19

diuretic of choice in IIH

Question 20

topiramate

Answer 20

drug that may help with headache symptoms in IIH

Question 21

weight loss

Answer 21

key to treatment for most patients with IIH

Question 22

petrous ridge

Answer 22

any process that increases intracranial pressure may cause sixth nerve palsy by compressing it against this structure

Question 23

true

Answer 23

TRUE or FALSE: both corticosteroid use AND withdrawl may cause IIH

Question 24

LP, MRI

Answer 24

two essential studies in diagnosing IIH

Question 25

VP shunt, optic nerve sheath fenestration

Answer 25

two surgical options in IIP

Question 26

VP shunt

Answer 26

in treating ICP, which surgical intervention tends to be more effective in the long term?

Question 27

optic nerve sheath fenestration

Answer 27

in treating ICP, which surgical intervention results in the fewest complications?

Question 28

glaucoma

Answer 28

late visual field changes in papilledema mimic this

Question 29

MRV

Answer 29

Dr. Van Stavern does not order this routinely but it is required in a case of malignant papilledema