Doctor insights on:
Is Papilledema Serious
Yes: Papilledema means a swollen optic nerve from increased intracranial pressure. The increased pressure must be investigated and treated. Otherwise, the optic nerve may become damaged and you will become blind. Also, the cause of the increased pressure could be life-threatening as well. ...Read more
Optic disc edema: Technically caused by increased brain pressure. Neurophthalmologic or neurological evaluation crucial to making a diagnosis since vision and/or life is threatened. The possibilities are broad, anywhere from benign too inflammatory to hereditary to intracranial tumors to other. Treatment is directed at the cause. ...Read more
Do you mean...: Increased intracranial pressure (Pseudotumor cerebri, Idiopathic intracranial hypertension (IIH)) is a disorder of unknown etiology that predominantly affects obese women of childbearing age. The ocular problem is that chronically elevated intracranial pressure (ICP), can cause papilledema which may lead to optic nerve atrophy & blindness. Urgent Eye MD management usually with a neurologist is imp ...Read more
See below: Papilledema by definition is optic nerve swelling due to increased intracranial pressure (icp), thus the treatment is to lower icp with medicine (like diamox) or surgery (like a surgical shunt). If optic nerve swelling is due to another cause, then it requires a different treatment. ...Read more
No : Papilledema is an eye finding on physical exam. It may be caused by increased intracranial pressure, but a spinal tap is not needed to identify papilledema. ...Read more
Pseudotumor cerebri: Important aspects of treatment for pseudotumor cerebri are weight loss and treatment with a water pill such as acetazolamide or diamox. Regular follow up with an ophthalmologist is necessary to check your visual acuity, visual fields and resolution of the papilledema. ...Read more
Papilledema: Papilledema is confirmed by doing a funduscopy (looking into the inside of the eye with bright light). Its presence denotes increased intracranial pressure which can cause headaches, visual disturbances like blurring of vision and double vision, dizziness, nausea and even vomiting. ...Read more
Depends: Papilledema is serious and may be due to a serious underlying condition. Treatment depends on the cause. For example, papilledema in one eye could be due to a compressive lesion like a tumor pushing on the optic nerve of one eye. See an ophthalmologist immediately or follow her/his advice if you already under one's care. ...Read more
Usually not: Usually a sign of increased intracranial pressure. ...Read more
Not connected : In the intensive care unit where I practice, respiratory failure and papilledema can occur in the same situation but one does not cause the other. I can think of situations such as high blood pressure emergency causing both, or trauma situation, or meningitis etc. This is typically a very dire situation where danger of dying or remaining handicapped for the rest of one's life is quite high. ...Read more
I was recently diagnosed with having papilledema and pseudotumor. Has anyone else heard of treatment?
Yes: With a good examiner using a direct ophthalmoscope,. ...Read more
Can preclampsia cause papilledema when you're pregnant? And does having papilledema cause problems during delivery?
Papilledema: Preeclampsia is defined by the development of new hypertension greater than 140/90 mm hg and new proteinuria exceeding 300 mg/24 hr after 20 weeks gestation. Papilledema (swollen optic disc which can be seen on eye exam) can occur and can be a factor for early delivery though does not by itself create a problem for delivery. ...Read more
I was diagnosed with stage 1 papilledema yesterday by my optometrist. How urgent is it that I go see a neurologist? I am currently unemployed and have no medical insurance so I can't even afford to go to a neurologist right now.
Papilledema is elevation of the optic disc (the end of the optic nerve in the back of the eye) caused by increased pressure inside the skull. Grade i papilledema is the mildest stage, but any kind of increased pressure in the skull is concerning.
Since the skull is made up of hard, inflexible bone, the volume of the contents of the skull is fixed. The 3 major things that are found in the skull are brain, blood, and cerebrospinal fluid. The volume of one of these things increases, the others must shrink. But they can only shrink to a point before pressure inside the skull increases. Causes of intracranial pressure can include expansion of the cerebrospinal fluid (examples include hydrocephalus and pseudotumor cerebri), expansion in blood (examples include arteriovenous malformation, or subdural hematoma), or expansion in brain (examples include brain and meningeal tumors and metastases).
Most people who have ominous, life threatening causes of elevated intracranial pressure have other symptoms, and those symptoms get worse over time.
A common cause of papilledema is pseudotumor cerebri. Risk factors for pseudotumor cerebri include obesity, certain medications, and certain dietary problems. Pseudotumor cerebri is probably the least serious of the possible causes of papilledema, but it can still lead to permanent vision loss.
A condition called pseudopapilledema looks like papilledema but is not caused by elevated intracranial pressure. It is considered benign.
Looking for causes of elevated intracranial pressure usually involves some kind of imaging of the brain (ct is slightly less expensive, MRI is better in most cases), and should include directly measuring the pressure by spinal tap (also known as lumbar puncture). Prior to doing a spinal tap, a doctor may want to check a few labs, and most doctors will send the fluid they get from the tap to the lab for routine tests.
Many counties have low-cost or free medical clinics for eligible people. County medical associations and local hospitals often have lists. ...Read more
Different items: Papilledema is a sign of increased intracranial pressure of any etiology, and can be due to tumor, hydrocephalus, brain hemorrhage, infections. Swelling of the optic nerve can be due to optic neuritis or other inflammatory problems. Spinal fluid leaks can be due to trauma over skull such as cribiform plate fracture. If severe trauma, perhaps all could occur together. ...Read more