PMID- 16244354
OWN - NLM
STAT- MEDLINE
DCOM- 20060321
LR  - 20161124
IS  - 1472-0213 (Electronic)
IS  - 1472-0205 (Print)
IS  - 1472-0205 (Linking)
VI  - 22
IP  - 11
DP  - 2005 Nov
TI  - Bilateral optic disc swelling; is a CT scan necessary?
PG  - 827-30
AB  - A 47 year old man sustained a head injury after tripping. He presented to the 
      accident and emergency department next morning where head x ray revealed no 
      fractures. However, the casualty doctor found bilateral blurred optic disc 
      margins on ophthalmoscopy. Although his head injury was classed as non-serious, 
      an urgent computed tomography scan was ordered and an ophthalmic opinion sought. 
      After detailed retinal examination, the ophthalmologist made a diagnosis of 
      bilateral optic nerve head drusen (ONHD), which was confirmed by a B-scan 
      ultrasound. The patient was advised not to drive (due to constricted visual 
      fields associated with ONHD) and to inform his siblings of his condition so they 
      could also be assessed. In cases of apparent optic disc swellings, it is 
      essential to distinguish between true and pseudo-papillo-oedema to avoid 
      subjecting patients to unnecessary neuroimaging procedures and associated 
      exposure to radiation.
FAU - Bhatt, U K
AU  - Bhatt UK
AD  - Department of Ophthalmology, Leicester Royal Infirmary, Infirmary Square, 
      Leicester LE1 5WW, UK. bhattuday@yahoo.com
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - England
TA  - Emerg Med J
JT  - Emergency medicine journal : EMJ
JID - 100963089
SB  - IM
MH  - Automobile Driving
MH  - Craniocerebral Trauma/*complications/diagnostic imaging
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Optic Disk Drusen/*diagnostic imaging
MH  - Papilledema/*diagnostic imaging/etiology
MH  - Referral and Consultation
MH  - Tomography, X-Ray Computed/*methods
PMC - PMC1726612
EDAT- 2005/10/26 09:00
MHDA- 2006/03/22 09:00
PMCR- 2008/11/01
CRDT- 2005/10/26 09:00
PHST- 2005/10/26 09:00 [pubmed]
PHST- 2006/03/22 09:00 [medline]
PHST- 2005/10/26 09:00 [entrez]
PHST- 2008/11/01 00:00 [pmc-release]
AID - 22/11/827 [pii]
AID - 10.1136/emj.2003.012971 [doi]
PST - ppublish
SO  - Emerg Med J. 2005 Nov;22(11):827-30. doi: 10.1136/emj.2003.012971.