Asymmetric Papilledema with Surprising Outcomes

The diagnosis of pseudotumor cerebri (PTC) can be straight forward when there is bilateral optic disc edema and when the symptoms, signs, and work-up match the modified Dandy-Walker criteria. However, in atypical patient presentations with asymmetric disc edema, there are diagnostic and treatment decision dilemmas

Large Right Hypophyseal Aneurysm Causing a Junctional Scotoma

Right, multi-lobulated superior hypophyseal artery aneurysm measuring 1.6 x 1.2 x 2.2 cm with 6 mm neck causing a right junctional scotoma . Images from a brain CT with contrast, a brain CT angiography with contrast, cerebral angiogram, Humphrey visual fields and ocular fundus photographs are included.VBneurodisaneurysms, EECneurodisaneurysms, VPavpopticchiasm, EECavpopticchiasm, VBchiasmalvisualfielddefects, EECchiasmalvisualfielddefect