Clinical features
Features include:
- headache tends to be the first symptom - it is worst first thing in the morning and last thing at night, and relieved on standing - consistent with raised intracranial pressure
- gradual visual field defects - due to effects of raised intracranial pressure on cranial nerves
- gross bilateral papilloedema without significant focal intracranial signs
- vomiting, drowsiness
Less commonly:
- diplopia due to VI nerve palsy
In women it may coincide with recent weight gain, fluid retention, the first trimester of pregnancy and the postpartum period.
Reference
- Blanch RJ et al. Differing presenting features of idiopathic intracranial hypertension in the UK and US. Eye (Lond). 2019 Jun;33(6):1014-9.
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