Idiopathic Intracranial Hypertension with 6th And 7th Cranial Nerve Palsy

Abstract

Background: Pseudotumor cerebri or Idiopathic Intracranial Hypertension (IIH) is a rare condition noted in children and adults; however, it is more common in females of childbearing age, with a female-to-male ratio of 8:1^{1, 2}. The common typical symptoms of IIH are headache, transient blurring of vision, while others are visual loss, diplopia, and pulsatile tinnitus.^3,4 We presented a case of IIH with cranial nerve palsies.

Case Report: A 30-year-old female patient presented with nausea, vomiting, headache, visual deterioration, and an uncommon presentation of 6^th and 7^th cranial nerve palsy, diagnosed as a case of IIH. On further examination and systemic investigation, there was also an associated undiagnosed polycystic ovarian disease. The purpose of this case is to highlight two important and uncommon factors, such as 7^th cranial nerve palsy and polycystic ovarian disease, that existed in this case of idiopathic intracranial hypertension.