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29 Possible Causes for Papilledema, Prominent Sulci

  • Meningoencephalitis

    MRI of the brain showed some effacement of cortical sulci, rendering the vessels prominent, with increased T2-weighted signal diffusely scattered throughout both hemispheres[academic.oup.com] Fundoscopy revealed bilateral gross papilledema with positive neck stiffness.[ajnr.org] On examination, the patient was in altered sensorium with papilledema and visual field defects.[ajnr.org]

  • Hypertensive Encephalopathy

    There was complete resolution of cerebral edema in all patients and mild interval prominence of the cerebral sulci, which can indicate cerebral volume loss, in three out of[bloodjournal.org] Clinical manifestations include headache; nausea; vomiting; seizures; altered mental status (in some cases progressing to coma); papilledema; and retinal hemorrhage ICD-9-[icd9data.com] Clinical manifestations include HEADACHE; NAUSEA; VOMITING; SEIZURES; altered mental status (in some cases progressing to COMA); PAPILLEDEMA; and RETINAL HEMORRHAGE.[fpnotebook.com]

  • Obstructive Hydrocephalus

    Pre-contrast axial CT Sulci and gyri are very prominent due to cortical atrophy, unlike in obstructive hydrocephalus where there is effacement of sulci and gyri.[stritch.luc.edu] A 40-year-old African American man presented with papilledema, diplopia, and headache.[ncbi.nlm.nih.gov] This finding is called papilledema and can be found on a careful eye examination.[nervous-system-diseases.com]

  • Brain Stem Herniation

    Papilledema Papilledema. The edematous optic papillae protrude forward into the vitreous chamber. Normal white matter Edematous white matter Edematous white matter.[neuropathology-web.org] The fluid space between the cortex and the calvarium appears to be increased and the sulci/gyri may appear prominent. View prominent sulci/gyri.[hawaii.edu] ., papilledema ) can detect ICP elevation, but not necessarily rule it out. Therefore, ICP monitoring and quantification is vital in at-risk patients.[amboss.com]

  • West Nile Encephalitis

    Arrows indicate subtle enhancement in the sulci. B and C, FLAIR images show increased signal intensity in the sulci, more prominent on the left than on the right.[ajnr.org]

  • Communicating Hydrocephalus

    CT and MRI reveal bilateral extracerebral fluid collections, prominent sulci, normal ventricles, and no evidence of compression of the brain.[thamburaj.com] A patient with communicating hydrocephalus had recurrent papilledema during episodes of thyrotoxicosis.[ncbi.nlm.nih.gov] Pre-contrast axial CT Sulci and gyri are very prominent due to cortical atrophy, unlike in obstructive hydrocephalus where there is effacement of sulci and gyri.[stritch.luc.edu]

  • Leptomeningeal Metastasis

    The lesions were more prominent in the cerebellar sulci compared with in the cerebral sulci.[ajnr.org] These may include headaches, changes in mental status, nausea and vomiting, difficulty with balance, seizures and papilledema.[adventhealthcancerinstitute.com] Besides signs and symptoms related to the CNS, the patient may have signs and symptoms of increased intracranial pressure (ICP) such as headache, lethargy, nausea, vomiting, papilledema[nursingcenter.com]

  • Congenital Communicating Hydrocephalus

    CT and MRI reveal bilateral extracerebral fluid collections, prominent sulci, normal ventricles, and no evidence of compression of the brain.[thamburaj.com] Papilledema is a late sign of increased intracranial pressure; its initial absence does not exclude hydrocephalus.[msdmanuals.com] Pre-contrast axial CT Sulci and gyri are very prominent due to cortical atrophy, unlike in obstructive hydrocephalus where there is effacement of sulci and gyri.[stritch.luc.edu]

  • Chronic Daily Headaches

    Finally ( viii ), we found that (like CSD) the spreading phenomenon did not cross prominent sulci (e.g., the parieto-occipital sulcus).[doi.org] […] hemorrhage A headache provoked by the Valsalva maneuver: Arnold-Chiari malformation Sudden onset of a headache: Subarachnoid hemorrhage Onset after 50 years: Brain neoplasm Papilledema[symptoma.com] Cephalalgia 1993 ;13: 151 – 65 Google Scholar SAGE Journals ISI Mathew, N, Sanin, L Coexistence of migraine and idiopathic intracranial hypertension without papilledema.[doi.org]

  • Normal Pressure Hydrocephalus

    First described by Hakim in 1965, NPH describes hydrocephalus in the absence of papilledema and with normal cerebrospinal fluid (CSF) opening pressure on lumbar puncture.[emedicine.com] NPH is suggested when ventricular dilation is out of proportion to the prominence of the sulci, but this is a subjective call.[docneuro.com]

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