Complete Ophthalmoplegia: A Rare Presentation of Idiopathic Intracranial Hypertension

Abstract

Idiopathic intracranial hypertension (IIH) is a disorder defined by clinical criteria that include signs and symptoms produced by raised intracranial tension (headache, papilloedema and vision loss), raised intracranial tension and normal CSF composition with no other cause of intracranial hypertension evident on neuroimaging. The most common symptom of IIH is headache; the most common sign is papilloedema and visual field loss. Here, we report a case of IIH which presented without headache, with visual loss and complete ophthalmoplegia in one eye and sixth cranial nerve palsy in other eye. There was no improvement in vision of patient on medical management and she was planned for a CSF diversion procedure. We highlight the various treatment options available for IIH and the importance of timely diagnosis and urgent treatment.