ABSTRACT
A 20-year-old college student presents with headaches and intermittent blurry vision. She has been experiencing generalized headaches for the past 4 months, and pulse synchronous tinnitus for the past 2 months. Her headaches are progressively worse and are now constant over the last week. The pain intensity is 8/10. She also described intermittent visual blurring lasting 30 seconds at a time. She has no nausea, vomiting, or fever. She is in good general health and her only medication is an oral contraceptive. She has gained 15 pounds in the past 6 months and is currently 5’4”, weighing 170 pounds. On exam, she has 20/25 visual acuity OD and OS. Her visual fields showed enlargement of the blind spot OU (Figures 8.1 and 8.2) and she has bilateral optic disc edema (Figures 8.3 and 8.4). She went to
the local emergency room last week and had a CT scan of her head which was normal (Figures 8.5).
