Idiopathic Hypertension with Multiple Cranial Nerve Palsies: A Case Report and Literature Review

Oman Med J. 2024 Jan 31;39(1):e598. doi: 10.5001/omj.2024.07. eCollection 2024 Jan.

Abstract

We report a rare case of idiopathic intracranial hypertension (IIH) with multiple cranial nerve palsies involving cranial nerves VI, VII, IX, and X in a 32-year-old female who had no prior comorbidities. Her condition improved rapidly on a ten-day regimen of acetazolamide and tablet topiramate. IIH should be considered in every patient presenting with persistent headache and multiple cranial nerve abnormalities. This paper also includes a literature review of similar cases.

Keywords: Cranial Nerve Palsies; Headache; Idiopathic Intracranial Hypertension; India; Papilledema; Pseudotumor Cerebri.

Publication types

  • Case Reports