Question

A 35-year-old obese female presents with chronic daily headache worse in the morning and occasional visual obscurations. Fundoscopy shows papilloedema. MRI is normal, and LP reveals raised opening pressure with normal CSF. According to NICE guidelines, what is the best initial management?

Accepted Answer

Weight reduction and acetazolamide

Answer

High-dose corticosteroids

Answer

Immediate neurosurgical decompression

Answer

Topiramate for migraine prophylaxis

Answer

Daily aspirin

Practice question

A 35-year-old obese female presents with chronic daily headache worse in the morning and occasional visual obscurations. Fundoscopy shows papilloedema. MRI is normal, and LP reveals raised opening pressure with normal CSF. According to NICE guidelines, what is the best initial management?