Endgames Spot Diagnosis

Headache and amaurosis fugax in an obese woman

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h6365 (Published 01 December 2015) Cite this as: BMJ 2015;351:h6365
  1. Koushik Tripathy, senior resident1,
  2. Priyanka Ramesh, junior resident1,
  3. Yog Raj Sharma, professor and chief1
  1. 1Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, 110029, India
  1. Correspondence to: K Tripathy koushiktripathy{at}gmail.com

A 42 year old obese woman presented with transient visual obscurations (amaurosis fugax) and headache for six months. She was alert and had no focal neurological deficit. Fundoscopy showed a similar picture in both eyes . What is the diagnosis?

Answer

Established stage of papilloedema.

Discussion

Both eyes show raised pink optic discs, a blurred disc margin, …

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