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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Papilledema Curable Through Medicine?

Hi, I am Ram Bohra. Recently I did Brain MRI of my wife & the report shows few lacunar hyperintense foci in the bilateral frontal white matter represent nonspecific white matter change. The report also states no other significant parenchymal abnormality. we also consulted a neurologist, who had given her a 3months medicine course & had called for check after 1 month. Atpresent, she is regularly taking the dose but she have swelling on face, hands & legs.. Is papilledema curable through medicine or it needs surgery. please suggest
Thu, 26 Nov 2015
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Neurologist,  's  Response
Papilledema indicate raised intracranial pressure. and as you say MRI Brain not showed any significant parenchymal abnormality. In such case there can be possibility of Idiopathic Intracranial hypertension. Your wife might need to undergo Lumbar puncture and checking of CSF pressure. If CSF pressure is elevated she will require medicine for lowering intracranial pressure (acetazolamide)
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Is Papilledema Curable Through Medicine?

Papilledema indicate raised intracranial pressure. and as you say MRI Brain not showed any significant parenchymal abnormality. In such case there can be possibility of Idiopathic Intracranial hypertension. Your wife might need to undergo Lumbar puncture and checking of CSF pressure. If CSF pressure is elevated she will require medicine for lowering intracranial pressure (acetazolamide)