A Case Report- Pseudotumor Cerebri With Bilateral Sixth Nerve Palsy

Pseudotumor Cerebri, is a disorder with raised ICT. It mainly affects overweight woman of child-bearing age. A 21-year- Materials And Methods: old, moderately obese female presented to ophthalmology OPD with a 7-day history of progressive, generalized headache- most intense upon awakening and improving during the day. Gradual visual loss over the same time frame. She exhibited bilateral lateral gaze palsy. Ophthalmic examination – including slit lamp and indirect ophthalmoscopy with fundus photography, was performed to assess anterior segment and optic disc findings. Systemic evaluation and investigations excluded potential secondary causes. Based on these findings, diagnosis of IIH was made. The patient was advised to reduce weight and was started on topical and systemic pressure reducing agents. Within one week , symptom improvement was noted. IIH is a diagnosis of exclusion. It requires elevated CSF pressure, normal CSF compositio Discussion: n, absence of systemic hypertension, no intracranial space -occupying lesion, highlighting the importance of imaging and lumbar puncture. Typical symptoms include headache, visual impairment, and sixth nerve palsy; the presence of papilledema is a key diagnostic sign. Papilledema is the hallmark Conclusion: of this and is required to make a definite diagnosis, emphasizing the importance of a fundoscopic examination on all patients with new or unexplained headaches.