Pseudotumor cerebri classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Classification/Staging

According to the Frisen staging, there are 6 stages of IIH based on the ophthalmoscopic signs:

stage 0

Optic disc is normal but nasal and temporal disc borders are blurred.

stage 1

Increased blurring of the nasal border of optic disc but normal temporal margins.

stage 2

Changes are increase in proportion to stage 1 with elevation of nasal nerve head and temporal border blurring.

stage 3

Changes are increase in proportion to stage 2 with elevation of both nasal and temporal disc border and increased diameter of nerve head.

stage 4

Changes are increase in proportion to stage 3 with nerve head elevation and decreased nerve cup.

stage 5

Increased anterior expansion of nerve head which becomes smooth with dome-shaped appearance.[1]

References

  1. Frisén L (January 1982). "Swelling of the optic nerve head: a staging scheme". J. Neurol. Neurosurg. Psychiatry. 45 (1): 13–8. PMC 491259. PMID 7062066.

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