Question 7

A 30 year old female presents to clinic with a 6 month history of headaches and a 2 week history of diplopia. Her vision is 20/25 OU sc, pupils are normal, but she has -2 on abduction OU. Otherwise her EOMs are full. Her alignment shows a 30pd ET in primary gaze at distance and near. Dilated fundus exam reveals bilateral 2+ disc edema with no hemorrhages or macular edema. Her headaches get worse when she lies down and she has had some nausea and vomiting at times. She reports a h/o Stevens-Johnson Syndrome with a sulfa antibiotic in the past. MRI/V are normal. Lumbar puncture with opening pressure shows increased ICP. Which of the following treatment options are relatively contraindicated?

PO Acetazolamide

PO Furosemide

PO Topiramate

All of the above

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