clinical features

Last reviewed 01/2018

Features include:

  • headache tends to be the first symptom - it is worst first thing in the morning and last thing at night, and relieved on standing - consistent with raised intracranial pressure
  • gradual visual field defects - due to effects of raised intracranial pressure on cranial nerves
  • gross bilateral papilloedema without significant focal intracranial signs
  • vomiting, drowsiness

Less commonly:

  • diplopia due to VI nerve palsy

In women it may coincide with recent weight gain, fluid retention, the first trimester of pregnancy and the postpartum period.