Headache Disorder Diagnosis
What's your diagnosis?
Idiopathic intracranial hypertension. The photograph shows papilledema in a child diagnosed with idiopathic intracranial hypertension (i.e., pseudotumor cerebri). The child had 3 weeks of progressive headache and was found to have an elevated opening pressure on lumbar puncture. Note the elevated optic disk with blurred disk margins. Some of the vessels are obscured at the disk margins, and the overall appearance is hyperemic.