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161 Possible Causes for Cotton Wool Spots, Headache, Papilledema

  • Preeclampsia

    The patient may experience severe headaches; pain in the stomach, dizziness and shortness of breath.[symptoma.com] […] the following: Sustained systolic BP greater than 160 mm Hg or diastolic BP greater than 110 mm Hg Tachycardia Tachypnea Rales Mental status changes Hyperreflexia Clonus Papilledema[emedicine.com] This ischemic state can manifest as reduced arteriolar caliber and arteriovenous ratio, retinal haemorrhages, oedema and cotton wool spots secondary to arteriolar damage,[eyewiki.aao.org]

  • Papilledema

    Abstract Headaches associated with papilledema may be both life-threatening as well as vision-threatening.[ncbi.nlm.nih.gov] Chronic papilledema may lead to blindness.[symptoma.com] wool spots In chronic phase , optic disc elevation and blurred margins, but no hemorrhages or cotton wool spots In atrophic phase (optic nerve axons have died), optic disc[kellogg.umich.edu]

  • Malignant Hypertension

    A 62-year-old man with a history of hypertension was referred secondary to bilateral temporal scotomas and persistent headache for 3 days.[ncbi.nlm.nih.gov] One child, presenting atypically with papilledema and fundal hemorrhages from malignant hypertension and benign intracranial hypertension from chronic iron-deficiency anemia[ncbi.nlm.nih.gov] Cotton-wool spots, or cytoid bodies, are not exudates, but rather are retinal infarcts. Hypertensive optic neuropathy is a late finding.[ncbi.nlm.nih.gov]

  • Hypertensive Crisis

    Headache was the most common symptom (54.5%), followed by dizziness (45.5%), nausea/vomiting (36.4%) and chest pain (29.1%).[ncbi.nlm.nih.gov] Retinal papilledema and/or fundal bleeds and exudates are another sign of target organ damage.[en.wikipedia.org] A dilated fundus examination showed improvement in hemorrhages and cotton-wool spots.[reviewofoptometry.com]

  • Hypertensive Retinopathy

    A 31-year-old woman presented with severe bilateral visual acuity loss associated with headaches and photophobia.[ncbi.nlm.nih.gov] This stage utilizes different features along with SVM and RBF for classification of papilledema.[ncbi.nlm.nih.gov] , presents with a ‘wet’ retina (multiple hemorrhage, multiple exudate, extensive edema, and few cotton wool spots).[web.archive.org]

  • Acute Hypertensive Retinopathy

    Common early symptoms of hypertension include headache, dizziness, tinnitus, and chest discomfort.[amboss.com] Introduction Focal spasms followed by progressive sclerosis and narrowing of retinal vessels Results in flame hemorrhage from vessel rupture, formation of exudates, and papilledema[medbullets.com] Image in 2012: Three years later, the cotton-wool spot completely vanished.[atlasophthalmology.net]

  • Idiopathic Intracranial Hypertension

    Common causes of headache in the puerperium are migraine headache and tension headache; other causes include pre-eclampsia/eclampsia, post-dural puncture headache, cortical[ncbi.nlm.nih.gov] This article reviews the treatment of papilledema-related visual loss in pseudotumor cerebri syndrome, one of the most common causes of papilledema encountered by neurologists[ncbi.nlm.nih.gov] Cotton wool spots were present in 4% of subjects, exudates in 3% and pseudodrusen in 4%.[ncbi.nlm.nih.gov]

  • Temporal Arteritis

    The present case is an 81-year-old woman diagnosed with GCA, who initially presented with features similar to tension-type headache.[ncbi.nlm.nih.gov] Hinzpeter EN, Naumann G: Ischemic papilledema in giant-cell arteritis. Arch Ophthalmol 1976;94:624–628.[doi.org] One week later, there were multiple cotton wool spots in the posterior pole, a relative afferent pupillary defect, and subtle visual field loss in the left eye.[ncbi.nlm.nih.gov]

  • Hypertensive Encephalopathy

    A 68-year-old woman presented with thunderclap headache, which led to a search for subarachnoid hemorrhage.[ncbi.nlm.nih.gov] Clinical manifestations include headache; nausea; vomiting; seizures; altered mental status (in some cases progressing to coma); papilledema; and retinal hemorrhage ICD-9-[icd9data.com] On ophthalmoscopy, grade IV retinal changes are associated with hypertensive encephalopathy, [7] including papilledema, hemorrhage, exudates, and cotton-wool spots (see the[emedicine.medscape.com]

  • Intracranial Hypertension

    Headache. 1992 Feb;32(2):84-94. Review. PubMed PMID: 1551793. Askmark H, Lundberg PO, Olsson S. Drug-related headache . Headache. 1989 Jul;29(7):441-4.[headachejournal.org] This article reviews the treatment of papilledema-related visual loss in pseudotumor cerebri syndrome, one of the most common causes of papilledema encountered by neurologists[journals.lww.com] Fig. 3 Chronic papilloedema: note that haemorrhages, exudates and cotton wool spots have disappeared.[bmb.oxfordjournals.org]

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