Description

The clinical picture seen in a patient with papilledema varies with the cause. However, a number of findings are relatively nonspecific. Sometimes the patient may be asymptomatic.


Common mechanism: increased intracranial pressure

 

Clinical findings may include:

(1) headache

(2) nausea and vomiting

(3) pulsatile tinnitus

(4) current drug history positive for a drug causing raised intracranial pressure

 

Visual acuity may be preserved. The patient may complain of:

(1) diplopia

(2) blurry vision

(3) constriction of the visual field

(4) decreased color perception

(5) flickering lights

(6) graying-out of vision


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