Dr. HIRANMOYEE DAS

Dr. HIRANMOYEE DAS

Abstract

Purpose: Eye is the window to the brain & papilledema is the most ominous neuro ophthalmic sign. Therefore, an attempt was made to study the various causes of papilledema.

Methods:170 patients having papilledema from Jan2011 to Dec2021 were studied prospectively & followed up to 3months.

Results: Cases were divided into 3 age groups: (0-3) yrs, (4-12) yrs & (13-18) yrs. 43.52% of cases were infection, 32.94% space occupying lesion (SOL), 10.59% otogenic intracranial complication, 8.23% pseudotumor cerebri & 4.70% hypertension. Among the infective group 56.76% tuberculosis,27.02% viral, 12.16% bacterial &4.05% of fungal etiology. Among SOL 30.35% tumors,30.35% tuberculoma, 17.85% intracranial hematoma,10.71% brain abscess &10.71% neurocysticercosis.

Conclusion: Important findings were 1.tuberculosis 2.middle ear infection (high altitude location) 3.neurocysticercosis (tribal dominated population). This study will guild us in early management of papilledema cases in underdeveloped area.

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