In this report, a 28-year-old patient who had idiopathic intracranial hypertension with rapidly progressive visual loss was reported. Etiological factors were polycystic ovarian disease, short-term oral contraceptive use and iron deficiency. She was administrated oral acetozolamid and metilprednizolon IV 1g/day. In addition to drug therapy, the patient underwent repeat lumbar punctures and lumboperitoneal shunt. In idiopathic intracranial hypertension, it is very rare but loss of vision may rapidly develop. In this case, high-dose intravenous corticosteroid therapy might be a god option in terms of save time to improve vision.
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