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Optic disc drusen masquerading as papilloedema
  1. C Y Fong1,
  2. C Williams2,
  3. I K Pople3,
  4. P E Jardine1
  1. 1Department of Paediatric Neurology, Bristol Royal Hospital for Children, Bristol, UK
  2. 2Department of Paediatric Ophthalmology, Bristol Eye Hospital, Bristol, UK
  3. 3Department of Paediatric Neurosurgery, Frenchay Hospital, Bristol, UK
  1. Correspondence to Dr Philip E Jardine, Department of Paediatric Neurology, Bristol Royal Hospital for Children, Level 6 UBHT Education Centre, Upper Maudlin Street, Bristol BS2 8AE, UK; philip.jardine{at}

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A previously healthy 12-year-old girl presented with a 3-week history of intermittent frontal headaches. She did not experience any other symptoms of raised intracranial pressure and had no visual complaints. Local ophthalmology assessment revealed bilateral asymmetric optic disc swelling (right eye more than left eye) with right relative afferent pupillary defect. Her visual acuity and colour vision were normal.

Lumbar puncture showed an opening cerebrospinal fluid (CSF) pressure of 23 cm H2O with no cells in CSF. MRI …

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  • Competing interests None.

  • Patient consent Parental consent obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.