Havangi Prakash Shisheer, Basavaraju Deepak, Gowda Supreeth N
Internal Medicine, Mysore Medical College and Research Institute, Mysore, IND.
Neurology, Gopala Gowda Shantaveri Memorial Hospital, Mysore, IND.
Cureus. 2022 Jun 14;14(6):e25929. doi: 10.7759/cureus.25929. eCollection 2022 Jun.
Papilledema is the swelling of the optic disc due to the transmission of intracranial pressure through the optic nerve. It can occur as a symptom of various intracranial pathologies that elevate the intracranial pressure. Even though anemia has been described as an association with raised intracranial pressure, the exact causal relationship between the two has not been well established in the literature. We present one such unusual case wherein a 21-year-old female patient, who complained of headaches, was found to have papilledema and severe anemia. After an unyielding workup for secondary causes, the rare association between papilledema and anemia was considered and prompt hemoglobin correction was ensued. Subsequently, resolution of papilledema and improvement in the visual acuity of the patient was observed. Although the causal relationship between anemia and papilledema has not been thoroughly explained, appropriate workup and correction of anemia play an integral role in the management of patients with papilledema and the prevention of long-term ocular complications.
视乳头水肿是由于颅内压通过视神经传导而导致的视神经乳头肿胀。它可作为各种导致颅内压升高的颅内病变的症状出现。尽管贫血被描述为与颅内压升高有关，但两者之间的确切因果关系在文献中尚未得到充分证实。我们在此呈现这样一个不寻常的病例，一名21岁女性患者主诉头痛，被发现患有视乳头水肿和严重贫血。在对继发原因进行了全面检查后，考虑到视乳头水肿与贫血之间罕见的关联，并迅速纠正了血红蛋白。随后，观察到患者视乳头水肿消退且视力改善。尽管贫血与视乳头水肿之间的因果关系尚未得到充分解释，但适当的检查和贫血的纠正在视乳头水肿患者的管理以及预防长期眼部并发症方面起着不可或缺的作用。
