AI Article Synopsis

  • - The text discusses pseudopapilledema, specifically caused by optic disc drusen (ODD), which can look similar to papilledema, posing a diagnostic challenge, especially in a young boy with Chiari malformation type 1.
  • - In such cases, advanced imaging techniques like fundus autofluorescence, optical coherence tomography (OCT), and B-scan ultrasonography are essential to differentiate between ODD and true papilledema due to elevated intracranial pressure (ICP).
  • - The consensus among specialists is to monitor patients with annual eye exams and imaging to catch any changes in the optic nerve head, as the presence of ODD doesn't rule out the possibility of future issues related to increased ICP

Article Abstract

Pseudopapilledema caused by optic disc drusen (ODD) mimics the appearance of papilledema and usually presents as a diagnostic challenge. A young boy with known Chiari malformation type 1 (CM-1) was referred to the pediatric ophthalmology clinic for eye assessment to exclude papilledema due to elevated intracranial pressure (ICP). Despite the ophthalmic examination revealing bilateral optic disc elevation, multimodal imaging techniques such as fundus autofluorescence, optical coherence tomography (OCT), and B-scan ultrasonography are recommended to confirm the distinction between bilateral ODD causing pseudopapilledema and papilledema secondary to elevated ICP. Accidental coexistent papilledema mimickers like ODD need to be considered in patients with CM-1 before making a diagnosis of papilledema to avoid unnecessary invasive procedures. There was no evidence that the presence of ODD excludes the possibility of future optic nerve head changes due to elevated ICP. The multidisciplinary consensus decided on annual ophthalmology follow-ups using multimodal imaging to detect any subtle optic nerve head changes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11298954PMC
http://dx.doi.org/10.7759/cureus.63937DOI Listing

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