Snap Shot A 58-year-old man presents with transient vision loss in addition to severe headaches that are worst when he wakes up in the morning. On retinal exam swelling of the optic disc is note. A CT scan of the head reveals a large intracranial mass. Introduction Swelling of the optic disc due to increased intracranial pressure Associated conditions severe hypertension psuedotumor cerebri intracranial mass Presentation Symptoms transient vision loss associated with changes in head position worse with increased cerebral blood flow (e.g. supine, prone) and improved with standing enlargement of the "blind spot" headache Physical exam venous stasis swollen optic disc with blurred margins absence of a physiological cup Treatment Reduction in intracerebral pressure