Idiopathic Intracranial Hypertension Revealed by Papillary Oedema: About Two Cases at the Mauritius Eye Clinic in Guinea

Abstract

Maxime Dantouma SOVOGUI, Abdoul Karim BALDE, Christophe ZOUMANIGUI, Mamadou Bobo DOUKOURE and Kokou VONOR

Objective: To describe the ophthalmological manifestations of idiopathic intracranial hypertension at the Mauritius Clinic.

Patients and Observations: We report two cases of idiopathic intracranial hypertension revealed by papillary edema, received in consultation at the Mauritius Eye Clinic. The symptomatology was dominated by visual eclipses, headaches and tinnitus. Decreased visual acuity was associated in patient No. 2. Papillary edema was found in both grade III cases and respectively. Consultations, paraclinical and I examinations in neurosurgery and infectiology were not contributory. The patients all benefited from a drug treatment based on acetazolamide 250mg. Cortancyl 20mg with a low-calorie diet have been combined with the treatment of patient No. 1. The evolution was favorable in patient No. 1 while patient No. 2 was at risk of visual loss due to the stage of papillary edema.

Conclusion: Faced with papillary edema associated with visual disorders, headaches, tinnitus and/ or not a decrease in visual acuity, it is necessary to suspect idiopathic intracranial hypertension until proven otherwise.

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