neurology

Question 1

symptoms of IIH

Answer 1

1. INTERMITTENT NOT THERE ALL THE TIME vision changes-peripheral loss, greyed out and lateral rectus weakness
2. Tinnitus- venous congestion causing arterial pulsatile tinnitus
3. N/V
4. Headache
5. venous congestion irritating meninges –> finding it difficult or painful to look at bright lights (photophobia)

Question 2

symptoms of IIH vs CVT?

Answer 2

IIH is chronic and symptoms are transient position related headache, eyes and tinnitus
CVT is STROKE ! so you get stroke symptoms (motor, sensory, verbal and understanding) +/- seizure due to raised pressure

also Cavernous sinus thrombosis- bulging of eyes/eye pressure (this is also common of IIH) but you then also get pain on eye movement, periorbital swelling and pain, vision changes, such as photophobia, diplopia, loss of vision. Symptoms may be present at onset or progress subacutely over days.