A 31-year-old woman arrives at the office complaining of transient visual changes, which are characterized by "loss of vision for a minute" and are frequently caused by bending forward or lifting objects. She has been suffering from migraine-like headaches for the past three months. As needed, the patient takes over-the-counter analgesics. The blood pressure is 140/90 mm Hg, and the pulse rate is 72 beats per minute. 32.4 kg/m² is the BMI. The image below depicts funduscopic findings in the left eye, with similar findings in the right eye. Which of the following is the most likely cause of the observed funduscopic findings in this patient?

Question

Quizplus · Accepted Answer

Eductional Objective: Idiopathic intracranial hypertension (pseudotumor cerebri) presents in young obese women with daily headache (which worsens during the Valsalva maneuver), bilaterally symmetric papilledema, and transient visual disturbances.  Increased intracranial pressure compresses the optic nerves, resulting in impaired axoplasmic flow and optic disc edema

A 31-Year-Old Woman Arrives at the Office Complaining of Transient