Optic disc drusen mimicking Idiopathic Intracranial Hypertension (IIH): rely on ultrasound

Eleni Bakola; Dimitrios Alonistiotis; Chryssa Arvaniti; Stavroula Salakou; Niki Nana; Aikaterini Foska; Vasiliki Kotsali-Peteinelli; Konstantinos Voumvourakis; Georgios Tsivgoulis

doi:10.1186/s42466-021-00133-0

Optic disc drusen mimicking Idiopathic Intracranial Hypertension (IIH): rely on ultrasound

Neurol Res Pract. 2021 Jun 14;3(1):33. doi: 10.1186/s42466-021-00133-0.

Authors

Eleni Bakola¹, Dimitrios Alonistiotis², Chryssa Arvaniti¹, Stavroula Salakou¹, Niki Nana¹, Aikaterini Foska¹, Vasiliki Kotsali-Peteinelli¹, Konstantinos Voumvourakis¹, Georgios Tsivgoulis^{3

4}

Affiliations

¹ Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Rimini 1, Chaidari, 12462, Athens, Greece.
² Second Department of Ophthalmology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Athens, Greece.
³ Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Rimini 1, Chaidari, 12462, Athens, Greece. tsivgoulisgiorg@yahoo.gr.
⁴ Department of Neurology, The University of Tennessee Health Science Center, Memphis, TN, USA. tsivgoulisgiorg@yahoo.gr.

Abstract

Optic nerve ultrasound is an established routine supplementary diagnostic tool for idiopathic intracranial pressure but it can also be helpful in avoiding misdiagnoses. We describe a case of an obese 15- year-old girl with persistent headaches, fundoscopic findings suggesting papilledema, normal brain imaging who underwent two lumbar punctures with unremarkable cerebrospinal fluid findings before ultrasound revealed optic disc drusen as the cause of the optic disc elevation.

Keywords: Idiopathic intracranial hypertension; Optic disc drusen; Papilledema; Transorbital ultrasound.

Publication types

Letter