Brain Tumors Research Today is a free monthly online journal that collates and summarizes the latest research about Brain Tumors, including details on symptoms, benign and malignant tumors, gliomas, screening, treatment.

Twin and triple peaks papilledema.

Mehta JS, Plant GT, Acheson JF

Department of Neuro-ophthalmology, Moorfields Eye Hospital, London, United Kingdom. jodmehta@gmail.com

PURPOSE: To describe 2 adult patients who presented with papilledema after band atrophy (i.e., twin and triple peaks papilledema). DESIGN: Retrospective small case series. PARTICIPANTS: Two outpatients. METHODS: Observations made on 2 patients whose cases were reviewed in the neuro-ophthalmology clinic. RESULTS: The first patient had a pituitary tumor presenting with papilledema, causing a triple peaks clinical sign. Color photographs, optical coherence tomograms, and magnetic resonance images are shown. The second patient developed twin peaks papilledema due to a chiasmal glioma causing secondary raised intracranial pressure. CONCLUSION: Twin peaks papilledema is a rare clinical sign that may develop in adults as well as in children. The first report and optical coherence tomography features of triple peaks papilledema illustrate a new clinical sign.

Published 4 July 2005 in Ophthalmology, 112(7): 1299-301.
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