Abstract :
An 18 year old Obese female with a history of hypothyroidism & PCOS presented with complains of headache for 5 days associated with nausea and double vision for 2 days. Her neurological examination together with Cranial Nerves was Normal except for bilateral restriction of abduction, suggestive of bilateral abucens nerve involvement. Fundus findings revealed bilateral grade III disc edema. Lumbar puncture indicated increased opening pressure and MRI was normal, which further ruled out the other Causes for Raised Intracranial Pressure. Patient was treated with IV mannitol and then switched over to oral acetazolamide. Patient improved over 1 week. Patient was further followed with serial visual field tests.
Keyword :
Idiopathic Intracranial Hypertension, VI Nerve Palsy, Hypothyroidism.