1985
DOI: 10.1227/00006123-198503000-00013
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Papilledema after Acute Head Injury

Abstract: Low grade papilledema after acute, severe head injury was identified in 15 (3.5%) of 426 patients. Papilledema was recognized immediately after head injury in 1 patient, during the 1st week in 10 patients, and in the 2nd week or after in 4 patients. Initial computed tomographic scans showed evidence of brain injury in 11 of these patients. The intracranial pressure (ICP) was monitored continuously for 3 or more days in 9 patients; it was mildly elevated (20 to 40 mm Hg) in 7 patients and moderately elevated (4… Show more

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Cited by 66 publications
(35 citation statements)
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“…6) Impaired axoplasmic flow of optic nerve fibers also contributes to papilledema. 11,12) Papilledema may also be caused by venous congestion of the optic nerve due to impaired sinus drainage. 1,[3][4][5] Generalized intraocular venous congestion and cavernous sinus thrombosis (or stenosis) …”
Section: Discussionmentioning
confidence: 99%
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“…6) Impaired axoplasmic flow of optic nerve fibers also contributes to papilledema. 11,12) Papilledema may also be caused by venous congestion of the optic nerve due to impaired sinus drainage. 1,[3][4][5] Generalized intraocular venous congestion and cavernous sinus thrombosis (or stenosis) …”
Section: Discussionmentioning
confidence: 99%
“…The incidence of posttraumatic papilledema is about 3.5% to 30%, 9,11) in contrast to 50% to 60% in patients with brain tumor 13) and 50% to 75% in patients with chronic subdural hematoma. 2) The appearance of papilledema is not always correlated with the severity of head injury, suggesting that sustained increase of intracranial pressure (ICP) is essential for the development of papilledema, 13) usually within a few days following trauma or hemorrhagic ictus.…”
Section: Introductionmentioning
confidence: 94%
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“…In one study of patients with acute head injury, the presence of papilledema had little correlation with the degree of high ICP and it was found only in 3.5% of patients 20. Thus, the absence of papilledema does not necessarily rule out high ICP in these patients.…”
Section: Etiology Of Papilledemamentioning
confidence: 97%
“…Thus, the fact that our patients were routinely given dexamethasone can explain the lack of ODE in our series. Furthermore, since ODE first appears some days after ICP elevation [9,16] and our severly head-injured patients died early, ODE had no chance to develop. Retinal hemorrhages, a funduscopic evidence of raised ICP, were found frequently in our study.…”
Section: Discussionmentioning
confidence: 88%