Answer and Explanation 8

8.  Choice B is the correct answer.  This patient has pseudotumor cerebri (idiopathic intracranial hypertension).  This diagnosis is made by spinal tap with manometry.  The fact the patient has recurrent headaches and papilledema in both eyes, should raise the suspicion for this.  It is more common in females than males.  Also it usually occurs in late teens to early 40's.  While an MRI of the head needs to be performed, it will not give you the diagnosis.  An EEG and myelogram will not be helpful in diagnosing this patient.