Case 57

Harutomo Hasegawa, Matthew Crocker and Pawan Singh Minhas

in Oxford Case Histories in Neurosurgery

Published on behalf of Oxford University Press

Published in print March 2013 | ISBN: 9780199599837
Published online April 2013 | e-ISBN: 9780191753503 | DOI:

Series: Oxford Case Histories

Case 57

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  • Neurosurgery
  • Clinical Radiology
  • Paediatrics


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A 20-year-old woman has been seen by the neurologists. She has a 3-week history of severe headaches and progressive visual failure, and originally saw an optician who suggested that she needed to be seen in hospital. She has an approximately symmetrical loss of visual acuity, not correctable by glasses, which is now 6/24 bilaterally. In addition, she describes the edges of her vision closing in and feels that she is ‘looking down a tunnel’. She has no diplopia, no vomiting, no seizures, and no focal neurological symptoms or signs. Fundoscopy shows gross papilloedema bilaterally.

Chapter.  1384 words.  Illustrated.

Subjects: Neurosurgery ; Clinical Radiology ; Paediatrics

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