(Medical Scientific Journal) MESINA
Vol 6, No 2 (2026): Medical Scientific Journal (MESINA)

Bilateral Papilledema with Sixth Cranial Nerve Palsy Complication: A Case Report

Indawaty, Septiani Nadra (Unknown)
Khairani, Lilis (Unknown)
Ghiffari, Ahmad (Unknown)
Rodhiaty, Fera Yunita (Unknown)
Hasmeinah, Hasmeinah (Unknown)
Ibrahim, Ibrahim (Unknown)



Article Info

Publish Date
25 May 2026

Abstract

Papilledema is swelling of the optic disc due to increased intracranial pressure (ICP) which can cause neurological symptoms such as headache, nausea, vomiting, and progressive visual impairment and can lead to permanent blindness if not treated appropriately. This condition must be differentiated from disc edema due to other etiologies because it has a different pathophysiology and management. This case report discusses a 32-year-old woman who presented with complaints of blurred vision such as shadows in the left eye for five days, accompanied by frontal headache radiating to the retrobulbar, nausea, intermittent fever, and impaired eye movement. Ophthalmological examination showed decreased vision, limited mediolateral movement of both eyes indicating paresis of the sixth nerve, and fundoscopic images of bilateral blurred papilla borders with more severe swelling in the left eye accompanied by hard exudate. The patient was diagnosed with papilledema with diplopia ODS ec. paresis of the sixth nerve and was given supportive therapy in the form of cendo lyteers and mecobalamin as well as regular check-up education. This case emphasizes the importance of early detection of papilledema through history taking, clinical examination, and fundoscopy to prevent permanent visual complications and determine comprehensive and timely management.

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Journal Info

Abbrev

MSJ

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Immunology & microbiology

Description

Focus and Scope All areas of medicine, biomedicine, and publich health fields. - Anatomy - Biomedicine - Pharmacology - Microbiology - Nutrition - Biochemistry - Physiology - Tropical Medicine - Public Health - Pediatric - Internal Medicine - Obstetry and Gynaecology - Dermatovenereology - Surgery - ...