A young obese woman with headaches, tinnitus, transient visual obscurations, and bilateral disc edema was found to have normal neuroimaging studies (magnetic resonance imaging/magnetic resonance venography [MRI/MRV]) and an elevated opening pressure on lumbar puncture with normal cerebral spinal fluid consistent with pseudotumor cerebri (idiopathic intracranial hypertension).
A 22-year-old woman had an 8-month history of headache. The headaches occurred almost daily, were diffuse, and were rarely associated with nausea. Over the last 2 months, she had noted a “pulsating sound” in her head (i.e., pulse synchronous tinnitus). It was most noticeable when changing posture, especially when going from a lying to a standing posture. Over the last 2 weeks, she had noted episodes lasting seconds at a time of transient visual loss in the left or right eye. She denied any other neurologic complaints or diplopia. She was not pregnant and was not taking any medications that cause increased intracranial pressure.