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A 31-year-old man with vitritis, chorioretinitis, and hydrocephalus
Digital Journal of Ophthalmology 2012
Volume 18, Number 2
May 14, 2012
DOI: 10.5693/djo.03.2012.03.001
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Andrew Schneier, MD | Massachusetts Eye and Ear Infirmary, Boston, Massaachusetts
Differential Diagnosis
Our patient presented with headaches and a unilateral subjective visual disturbance. Examination revealed vitritis and characteristic chorioretinal lesions in the right eye as well as bilateral disc edema. Our initial differential diagnoses included cerebral toxoplasmosis/encephalitis, as well as additional etiologies of papilledema, including mass lesion, space-occupying hemorrhage, disturbance of cerebrospinal fluid flow (obstructive, absorptive, overproduction), obstruction of venous outflow, and idiopathic intracranial hypertension.