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Neurology 2001;56:1588-1590
© 2001 American Academy of Neurology
Brief Communications

Unilateral swollen disc due to increased intracranial pressure

R. Huna–Baron, MD;, K. Landau, MD;, M. Rosenberg, MD;, F. A. Warren, MD; and M. J. Kupersmith, MD

From the Goldschleger Eye Institute (Dr. Huna-Brown), Sheba Medical Center, Tel- Hashomer, Israel; Department of Ophthalmology (Dr. Landau), University Hospital Zurich, Switzerland; New York Eye and Ear Infirmary (Drs. Rosenberg, Warren, and Kupersmith), New York; and Division of Neuro-Ophthalmology (Dr. Kupersmith), Institute of Neurology and Neurosurgery, Beth Israel Medical Center, New York, NY.

Address correspondence to Dr. Mark J. Kupersmith, Institute for Neurology and Neurosurgery, Beth Israel Medical Center, North Division, 170 East End Avenue, New York, NY 10128; e-mail: mkuper{at}bethisraelny.org

Truly unilateral papilledema is rare and poses a diagnostic problem. The authors have prospectively looked for patients with truly unilateral papilledema and found 15 patients, 10 of whom had idiopathic intracranial hypertension. Neuroimaging did not indicate a reason for the lack of swelling in the other nerve. The visual deficits and outcomes were similar to those of patients with bilateral papilledema. Although monocular papilledema is uncommon, a lumbar puncture with opening pressure measurement should be considered.




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