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Teaching NeuroImages: Distinguishing Papilledema From Pseudopapilledema Using Optical Coherence Tomography

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NEUROLOGY
卷 96, 期 21, 页码 E2666-E2667

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1212/WNL.0000000000011353

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A 71-year-old man with blurred optic discs was referred to the emergency department and was diagnosed with optic disc drusen after further examination.
A 71-year-old man presented to the emergency department with bilateral blurred optic discs, referred by his optometrist following a routine eye test. He had no visual or headache symptoms. Visual acuity was 20/20 bilaterally; funduscopy concurred with the optometry findings. Investigations for presumed papilledema were initially interpreted as normal (CT head/lumbar puncture). In clinic, optical coherence tomography (OCT) imaging identified optic disc drusen (ODD) (figure 1).

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