Idiopathic Intracranial Hypertension Associated with Uncontrolled Use of Weight-Loss Drug

Abstract

Imshenetskaya Tatsiana, Ana Dvalishvili, Vladimir Ponomarev, Vladimir Ponomarev and Galina Vashkevich

Purpose: We report a case of a patient with bilateral papilledema and Benign Intracranial Hypertension caused by uncontrolled use of drugs for self-treatment of obesity. Methods: A 36-year-old, mildly obese female with a 7-month history of visual changes with floaters, intermittent episodes of diplopia and blurred vision, intense, debilitating, daily headaches, pulsatile tinnitus, bilateral maxillary pressure and pain. Fundus examination revealed papilledema, visual field test detects blind spot enlargement, generalized constriction, and loss of the nasal visual fields, optical coherence tomography (OCT) - increased RNFL thickness in all four quadrants, Lumbar puncture- Increased Intracranial Pressure. Results: The diagnosis of IIH we made according modified Dandy criteria. Conclusion: To our knowledge, this is the first report in literature of BIH caused after self-medication of overweight. Patient during a year lose 40 kg, and she manage it by uncontrolled use of drugs for weight loss.

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