A woman with papilloedema initially had brief greying of vision only on standing or coughing. Over 48 hours, the episodes have become more frequent

Question

A woman with papilloedema initially had brief greying of vision only on standing or coughing. Over 48 hours, the episodes have become more frequent and now occur at rest. Formal visual fields have also worsened. What is the most important interpretation?

Accepted Answer

Treat as worsening optic-nerve compromise from papilloedema and reassess urgently

Answer

The pattern proves a focal occipital seizure and excludes raised intracranial pressure

Answer

Increasing frequency is reassuring because transient obscurations do not affect optic-nerve prognosis

Answer

The episodes are caused by retinal emboli and should be managed as carotid TIA without reassessing papilloedema

Answer

The new resting episodes make migraine aura more likely than papilloedema

TVOs – Papilloedema — SCE Neurology MCQ

A woman with papilloedema initially had brief greying of vision only on standing or coughing. Over 48 hours, the episodes have become more frequent and now occur at rest. Formal visual fields have also worsened. What is the most important interpretation?