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| | American Family Physician: Papilledema: clinical clues and differential diagnosis |
 | | Furthermore, the ophthalmoscopic appearance of the optic nerve head in papilledema is dynamic rather than static.(1,4) Increased intracranial pressure is transmitted to the retrolaminar region of the optic nerve; this results in obstruction of anterograde axoplasmic flow, distention of the axons anterior to the lamina cribrosa and swelling of the optic nerve head (Figure 2). | | | Papilledema may be associated with transient obscurations of vision, described as periods of visual blackout lasting seconds to minutes. |
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http://www.findarticles.com/p/articles/mi_m3225/is_n3_v45/ai_12026522
(1308 words)
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| | Caremark.com |
| | Papilledema can be observed in people of any age, but is relatively uncommon in infants because the bones of the skull are not fully fused together at this age. | | | Alternative treatments for conditions that cause the occurrence of papilledema include acupuncture, aromatherapy, hydrotherapy, massage, and herbal remedies. | | | This increase in intracranial pressure may be caused by any of a variety of conditions within the skull, brain, or spinal cord. |
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http://www.caremark.com/wps/portal/_s.155/5524?cms=CMS-2-MM001600
(582 words)
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| | Physicians & Students/ Papilledema |
| | It is useful to characterize the changes in the optic nerve head that occur in papilledema as being mechanical or vascular in nature. | | | Even more specific are the transient obscurations of vision, usually described as monocular or binocular blackouts, that last 3-4 seconds and most often occur as the patient arises from the recumbent position to sitting or standing. | | | However, further injury to the optic nerve may be associated with secondary optic atrophy and |
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http://www.eyeweb.org/papilledema.htm
(263 words)
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| | Medical Treatment of IIH Idiopathic Intracranial Hypertension (Pseudotumor cerebri) - U I Health Care |
| | Modification of therapy is based on a combination of the patient’s symptoms, visual field examinations and changes in papilledema. | | | Following the patient’s papilledema (which reflects the mean intracranial pressure) is a superior index of the mean intracranial pressure. | | | This treatment did not consistently reduce headaches and only four of the 30 patients had improvement in their papilledema. |
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http://webeye.ophth.uiowa.edu/dept/IIH/pc-medical-tx.htm
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| | IDIOPATHIC INTRACRANIAL |
| | When the papilledema grade and visual field grade of the left and right eyes were taken into consideration it was found that they were not different from each other proving out that both eyes are affected equally from the disease process. | | | The CSF pressure was not correlated with the papilledema grade or with the visual field grade. | | | The CSF pressure was not correlated with the papilledema grade or with the visual field grade as well. |
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http://med.ege.edu.tr/~norolbil/2000/NBD08600.html
(2608 words)
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| | Handbook of Ocular Disease Management - OPTIC DISC EDEMA & PAPILLEDEMA |
| | Papilledema, a specific form of disc edema resulting from elevated intracranial pressure, generally exhibits a minimal acuity deficit, but may demonstrate transient visual obscurations associated with postural changes. | | | Neuro-ophthalmologists have attempted surgical therapy of the optic nerve using optic nerve sheath decompression to alleviate fluid retention within the surrounding meninges by creating a small fenestration site within the intraorbital portion of the nerve. | | | Patients with optic disc edema may present asymptomatically, but this can vary depending upon the etiology of the nerve swelling. |
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http://www.revoptom.com/handbook/sect6b.htm
(848 words)
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| | [No title] |
| | Visual blackouts often are triggered by a change in position, such as by standing up very suddenly, or they may be triggered by coughing or straining within the chest or abdomen. | | | To check your visual field, your doctor may simply compare your vision abilities to his or her own by sitting across from you and moving fingers in and out of view. | | | Brain tumors sometimes can be treated with a form of laser treatment or radiation and often require surgery. |
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http://www.geocities.com/oneals7/pap.html
(1300 words)
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| | Ophthalmic Hyperguide. Neuro-ophthalmology: Papilledema |
| | The most important role of an eyecare provider is to maintain vision with the most appropriate treatment modality in those cases of chronic papilledema with associated field loss. | | | Radioactive tracer studies have determined that axoplasmic flow becomes stagnant at the region of the lamina cribrosa when there is raised ICP and papilledema. | | | Early papilledema typically does not affect central acuity, color vision, or pupillary function. |
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http://www.ophthalmic.hyperguides.com/Tutorials/neuro/papilledema/tutorial.asp
(5548 words)
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| | eMedicine - Papilledema : Article by Joseph Giovannini, MD |
| | This leads to a buildup of material at the level of the lamina cribrosa, resulting in the characteristic swelling of the nerve head. | | | In contrast to other causes of optic disc swelling, vision usually is well preserved with acute papilledema. | | | Synonyms and related keywords: optic nerve sheath, optic nerve head, optic disc swelling, elevated intracranial pressure, acute papilledema, papillitis, pseudotumor |
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http://emedicine.com/OPH/topic187.htm
(1768 words)
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| | THE MERCK MANUAL--SECOND HOME EDITION, Papilledema in Ch. 235, Optic Nerve Disorders |
| | At first, papilledema may be present without affecting vision. | | | A spinal tap is performed to measure the pressure of the cerebrospinal fluid. | | | For example, a brain abscess is drained and antibiotics are given, high blood pressure is lowered with drug therapy (see Antihypertensive Drugs |
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http://www.merck.com/mmhe/sec20/ch235/ch235b.html?alt=pf
(295 words)
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| | papilloeddema |
| | With timely and appropriate intervention, early and established papilledema completely resolve in few days to few weeks with total recovery of visual acuity and full visual fields. | | | Since it was found to be normal she used to take analgesics for relief. | | | A complete and thorough eye check up comprising of visual acuity, visual fields, refraction (with appropriate cycloplegic especially in children, and slit lamp examination of the fundus, vitreous, and macula. |
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http://www.thamburaj.com/papilloedema.htm
(2327 words)
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| | Pseudotumor Cerebri |
| | Increased CSF pressure in patients with chronic daily headaches and no papilledema, may have analgesic rebound headaches. | | | Patients treated surgically still need to undergo serial follow-up to detect papilledema and visual loss, and signs of optic nerve sheath shunt failure. | | | Failure of vision can occur at anytime, even a few years later. |
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http://neuroland.com/ha/pseudo_cer.htm
(601 words)
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| | Papilledema |
| | Papilledema is a bilateral swelling or edema of the optic disc secondary to any factor which may increase cerebral spinal fluid pressure. | | | -See also (#24657, #28013, #28034, #28037) for other views of papilledema. | | | Fundus examination reveals a swollen optic nerve head with elevation, edema and narrowing of the physiological cup, vascular congestion with small areas of flame-shaped hemorrhage and exudates, and possible surrounding retinal edema (#22092). |
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http://insight.med.utah.edu/opatharch/onerve/papilledema.htm
(101 words)
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| | Intracranial pressure |
| | Idiopathic intracranial hypertension without papilledema: a case-control study in a headache center. | | | Neurology 1997 Sep;49(3):734-739 [LP shunting should be considered as the first surgical procedure for patients with severe visual loss at presentation or with intractable headache. | | | The minor symptoms of increased intracranial pressure: 101 patients with benign intracranial hypertension. |
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http://rkaris.home.att.net/icp.htm
(668 words)
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| | Pseudotumor Cerebri |
| | Chronic papilledema mayresult in atrophy of the nerve head, with associated pallor and gliosis. | | | Increased intracranial pressure induces stress on the peripheral aspects of the brain, including the cranial nerves. | | | Funduscopic evaluation of patients with PTC demonstrates bilaterally swollen, edematous optic nerves consistent with true papilledema. |
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http://www.revoptom.com/handbook/SECT53a.HTM
(949 words)
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| | papilledema - definition of papilledema in Encyclopedia |
| | Checking the eyes for signs of papilledema should be carried out whenever there is a clinical suspicion of raised intracranial pressure. | | | Papilledema occurs in approximately 50% of those with a brain tumour. | | | Because of the (rare) possibility of a brain tumor or pseudotumor cerebri, both of which can increase intracranial pressure, this examination has become common for patients suffering from headaches. |
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http://encyclopedia.laborlawtalk.com/papilledema
(162 words)
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| | Ophthalmic Hyperguide. Neuro-Ophthalmology: Papilledema |
| | Marked peripheral field constriction due to chronic papilledema is shown on perimetry. | | | Bilateral papilledema in a patient with pseudotumor cerebri. | | | Three different stages of papilledema in a patient with pseudotumor cerebri. |
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http://www.ophthalmic.hyperguides.com/tutorials/neuro/papilledema/slides.asp
(329 words)
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| | American Family Physician: Benign intracranial hypertension - clinical aspects, diagnosis & treatment |
| | Benign intracranial hypertension should be differentiated from other conditions associated with headache and papilledema or visual changes. | | | A careful, thorough physical examination will corroborate the diagnosis of benign intracranial hypertension. | | | The diagnosis is made by the combination of a characteristic clinical picture, a negative radiologic evaluation and suggestive CSF manometric studies. |
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http://www.findarticles.com/p/articles/mi_m3225/is_n4_v45/ai_12126942
(1210 words)
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| | Intracranial Hypertension Research Foundation - Diagnosing IH |
| | Evidence of papilledema can also point to increased intracranial pressure and, therefore, a complete eye examination, including visual fields testing, should always be done. | | | This very lack of obvious medical clues is what distinguishes IIH. | | | And it's further complicated by the fact that an individual patient may not exhibit all the telltale symptoms, like tinnitus or papilledema. |
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http://www.ihrfoundation.org/about-ih/diagnosis.asp
(475 words)
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| | Answer to Ophthaproblem |
| | When the reason for changes in the optic disk is unclear, patients should be referred to an ophthalmologist to rule out papilledema or optic disk edema caused by other conditions. | | | Increased pressure can arise from an intracranial process, such as a mass, or idiopathic intracranial hypertension. | | | This patient was referred to an ophthalmologist to rule out papilledema. |
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http://www.cfpc.ca/cfp/2002/May/vol48-may-clinical-2.asp?stype=advanced&
(610 words)
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| | Intracranial Hypertension Research Foundation - Signs & Symptoms |
| | The most common symptom is an unbearably painful headache that is not relieved by any medication. | | | Raised intracranial pressure is transmitted along the paths of the optic nerves, causing the nerves to swell (papilledema), which can lead to loss of vision and blindness. |
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http://www.ihrfoundation.org/about-ih/signs.asp
(228 words)
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| | THE MERCK MANUAL, Sec. 8, Ch. 101, Optic Nerve And Optic Pathway Disorders |
| | Swelling of the optic nerve head due to increased intracranial pressure. | | | Papilledema is almost always bilateral and occurs with brain tumor or abscess, cerebral trauma or hemorrhage, meningitis, arachnoidal adhesions, cavernous or dural sinus thrombosis, encephalitis, space-occupying brain lesions, severe hypertensive disease, and pulmonary emphysema. | | | Papilledema also occurs with pseudotumor cerebri, which is usually far less serious than other causes. |
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http://www.merck.com/pubs/mmanual/section8/chapter101/101a.htm
(193 words)
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| | The Eyes Have It: Acquired Systemic Diseases |
| | The disc swelling is the result of a slow-down in axoplasmic flow from the retina to the lateral geniculate body. | | | Most observers consider increased intracranial pressure a medical emergency even though some conditions are chronic. | | | If you believe the patient has papilledema, you must infer increased intracranial pressure. |
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http://www.itd.umich.edu/~websvcs/projects/eyes/acquired/papilledema.html
(124 words)
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| | Bioline International Official Site (site up-dated regularly) |
| | This also means that patients of GBS, especially the ones who develop papilledema, need to be closely followed up to detect any field defects or visual loss, so that timely intervention can be initiated. | | | Joynt, however, postulated that the papilledema may be secondary to cerebral edema. | | | Papilledema and raised intracranial pressure have been reported in association with Guillain-Barre syndrome. |
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http://www.bioline.org.br/request?ni02145
(1182 words)
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| | Idiopathic Intracranial Hypertension (Pseudotumor cerebri) - U I Health Care |
| | Grade I papilledema, Another example of an optic nerve with mild papilledema. | | | The diagnosis of IIH is made by identifying the typical symptoms of the disease along with documentation of a high spinal fluid pressure (done during a spinal tap). | | | The neurologic examination is normal except for the presence of swollen optic nerves called papilledema (seen by examining the back of the eye). |
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http://webeye.ophth.uiowa.edu/dept/IIH/pc_4.htm
(209 words)
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| | Visual Disturbances--Papilledema? |
| | I appreciate any comments on my condition and am wondering what sort of doctor or hospital I should see next. | | | I have read about papilledema and am concerned, since a lot of my problems seem to "fit" with papilledema (though I am not a doctor and I don't even play one on T.V.). |
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http://www.medhelp.org/perl6/neuro/archive/11062.html
(665 words)
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| | Papilledema definition - Medical Dictionary definitions of popular medical terms |
| | Papilledema: Swelling of the head of the optic nerve, a sign of increased intracranial pressure. | | | Papilledema definition - Medical Dictionary definitions of popular medical terms | | | The finding of papilledema requires immediate further evaluation and, if need be, intervention. |
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http://www.medterms.com/script/main/art.asp?articlekey=4757
(223 words)
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| | Patient 45 selftest |
| | Acute onset headache with mild lateral diplopia, but no papilledema | | | Visual loss related to papilledema from intracranial hypertension is often acute. | | | Visual acuity is a sensitive marker in the evaluation of visual loss related to papilledema. |
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http://www.bcm.edu/neurology/challeng/pat45/selftest.html
(194 words)
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| | PTC-high pressure w/o papilledema?? |
| | My doctors seem to think that if there is no papilledema, that the PTC is not recurring. | | | I am not currently showing signs of papilledema but have all the \"other\" signs of recurrance...headaches, brain fog, dizzy, fatigue, lack of concentration, etc....should I ask for a spinal or what??? | | | OK old-timers, question - can your pressure be high without showing evidence of it in your eyes? |
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http://www.pandamedicine.com/rt_women/179.html
(82 words)
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| | Re: papilledema, pseudo tumor |
| | What have you found out lately about your sons condition??? | | | If I am understanding the documentation correctly, pseudopapilledemas is not as critical as papilledema there is a great article at http://www.emedicine.com/oph/topic615.htm I guess I need to talk to his eye doctor again to determine if the diagnosis is correct based on this article. | | | MOst of the research I have completed states that this is rare and most MRI\'s come out clean. |
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http://www.pandamedicine.com/rt_women/8-14-2-5-1.html
(129 words)
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| | Unilateral and highly asymmetric papilledema in pseudotumor cerebri. |
| | I compared six subjects with pseudotumor cerebri and unilateral or highly asymmetric papilledema with 20 such patients with bilateral papilledema. | | | I hypothesize that, in patients with unilateral papilledema, one optic nerve is protected from pressure effects by optic nerve sheath anomalies or lamina cribrosa changes due to increased collagen and decreased elasticity with aging. | | | Patients with unilateral papilledema were significantly older than those with bilateral papilledema, but there were no significant differences between the two groups in disease duration, elevation of intracranial pressure, visual fields and acuity, and presence of headaches or transient visual obscurations. |
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http://www.arclab.org/medlineupdates/abstract_1549237.html
(120 words)
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| | P |
| | The condition may be diagnosed by a visual-field examination, ultrasonography, computerized tomography, and fluorescein angiography. | | | Papilledema is often accompanied by vomiting and headache, enlargement of the blind spot, and transient blurring or loss of vision. | | | Since papilledema may indicate a tumor, it is a serious condition that requires prompt medical attention. |
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http://www.innvista.com/HEALTH/ailments/eyeail/visdict/p.htm
(2820 words)
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| | Eye Conditions > Papilledema -- EyeMDLink.com |
| | Papilledema is a term that indicates a swollen optic nerve due to increased intracranial pressure. | | | The condition is most commonly noted in the disorder known as pseudotumor cerebri, which is most likely to occur in young, caucasian, overweight females. | | | Papilledema is not a diagnosis, but rather a sign of an underlying disorder. |
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http://www.eyemdlink.com/Condition.asp?ConditionID=340
(126 words)
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| | Papilledema - Medical Illustration |
| | Medical Condition Including Hypertension and Papilledema - exh5418e | | | Medical Condition Including Hypertension and Papilledema - exh5418d | | | Normal eye anatomy compared with papilledema (edema or swelling of the optic nerve/disc). |
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http://www.doereport.com/generateexhibit.php?ID=408&A=
(386 words)
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| | CASE REPORT: BINOCULAR PAPILLEDEMA AS FIRST MANIFESTATION OF PRIMARY HYPOPARATHYROIDISM |
| | Patient: A 56 year-old male patient presented with chronic papilledema on both eyes. | | | In cases of chronic papilledema, the assessment of the calcium serum level is a safe and simple method to exclude hypoparathyroidism. | | | Conclusions: The case of a 56 year-old male is reported, a case in which papilledema lead to the diagnosis of a primary hypoparathyroidism. |
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http://www.dog.org/1998/e-abstract98/380.html
(279 words)
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| | BILATERAL PAPILLEDEMA AS LONE CLINICAL SIGN OF MENINGEAL CARCINOMATOSIS |
| | Ophthalmological findings are frequently associated with and occasionally diagnostic of unrecognized systemic illnesses. | | | Case reaps: A 73-year old female presented with bilateral papilledema and the clinical diagnosis of pseudotumor cerebri. | | | Conclusion: The diagnosis of meningeal carcinomatosis secondary to breast cancer believed to be in complete remission was made by investigation of bilateral papilledema as the only clinical finding of a metastatic solid malignancy. |
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http://www.dog.org/engl/abstract97/P585.html
(378 words)
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| | Eye Diseases |
| | On Surgery for nonarteritic anterior ischemic optic neuropathy - Cochrane Review, 2003 | | | Optic Disc Edema and Papilledema - Review of Optometry Online | | | On Papilledema and Pseudo-Papilledema [WF Hoyt] - Univ of Utah |
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http://www.mic.ki.se/Diseases/C11.html
(2569 words)
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| | Unilateral papilledema after bone marrow transplantation |
| | Although papilledema is a sensitive marker of elevated intracranial pressure, this sign may be masked by constriction of the optic sheath in patients who suffer from leukemic infiltration of the central nervous system and receive high doses of cranial irradiation. | | | We describe a patient who developed unilateral papilledema after allogeneic BMT. | | | This is a rare manifestation of pseudotumor cerebri, which results from elevated intracranial pressure caused by cyclosporin A. The papilledema usually involves the fundi bilaterally, but unilateral involvement has been described. |
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http://www.nature.com/cgi-taf/DynaPage.taf?file=/bmt/journal/v23/n9/abs/1701741a.html
(192 words)
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| | Papilledema : Part 1 |
| | Exudates in the macular such as a macular star always suggest chronicity. | | | If blurring is first noted on the temporal side of the disc, you should consider some local process like a juxtapapillary choroiditis, tumor or vascular process like in anterior ischemic optic neuropathy (AION) or occlusive vascular disease. | | | However, prolonged edema from IICP can cause loss of vision and or field and is not uncommon with pseudotumor cerebri. |
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http://telemedicine.orbis.org/bins/volume_page.asp?cid=1-13-161-225
(632 words)
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| | Benign Intercranial Hypertension |
| | Headache is the most common symptom but ataxia can also be seen. | | | I would ask your physician if there was papilledema and if there was, with a normal scan the likelihood of having pseudotumor cerebri would be increased. | | | When you have a female, over weight, with headache and papilledema the diagnosis is usually pseudotumor cerebri, but the scans are to rule out the worrisome possibilities. |
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http://www.medhelp.org/forums/neuro/messages/30505a.html
(522 words)
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| | Neuro-Ophthalmology |
| | Chronic papilledema may cause OPTIC ATROPHY and visual loss. | | | Definition: Swelling of the OPTIC DISK, usually in association with increased intracranial pressure, characterized by hyperemia, blurring of the disk margins, microhemorrhages, blind spot enlargement, and engorgement of retinal veins. |
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http://medstat.med.utah.edu/NOVEL/Hoyt/papilledema
(47 words)
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| | Optic Nerve Diseases for medical students and primary care physicians |
| | Hypermetropic eyes are smaller in size and their discs are frequently smaller, lacking a physiologic cup, and have a crowded and full appearance mimicking the swelling of papilledema. | | | The optic nerve head is typically small and full also mimicking papilledema. | | | A clue to the diagnosis is their autofluorescence when viewed through a fundus camera before injecting the dye in fluorescin angioraphy.(red- free image). |
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http://www.eyeweb.org/optic_nerve.htm
(540 words)
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| | MedWatch - Neumega Letter |
| | papilledema as a dose-limiting adverse reaction in the pediatric population. | | | adequate follow-up, papilledema was reversible after treatment discontinuation. | | | children in this study who received doses of 100 µg/kg/day, four developed papilledema |
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http://www.fda.gov/medwatch/safety/2001/neumega.htm
(376 words)
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