Patient presents with complaints consistent with intracranial hypertension (IH), also known as idiopathic intracranial hypertension (IIH) and pseudotumor cerebri.  Symptoms include headache, described as pressure-like, pulsatile, or throbbing, often worse in the morning or with Valsalva maneuvers.  Visual disturbances are reported, including transient visual obscurations, diplopia, and pulsatile tinnitus.  Physical examination may reveal papilledema on funduscopic exam.  Other symptoms such as nausea, vomiting, neck stiffness, and dizziness may be present.  Differential diagnosis includes brain tumor, meningitis, venous sinus thrombosis, and other causes of elevated intracranial pressure.  Neuroimaging, such as MRI brain and MR venography, is negative for structural abnormalities or venous sinus thrombosis, supporting the diagnosis of IIH.  Lumbar puncture reveals elevated opening pressure greater than 250 mmH2O in adults with normal cerebrospinal fluid composition.  Risk factors assessed include obesity, female sex, certain medications (e.g., tetracyclines, vitamin A derivatives), and medical conditions such as sleep apnea and endocrine disorders.  Treatment plan includes weight loss if applicable, acetazolamide for symptom management and pressure reduction, and regular ophthalmologic monitoring for visual changes.  Patient education provided on the importance of adherence to treatment, regular follow-up, and potential complications including vision loss.  Further evaluation and management may include optic nerve sheath fenestration or cerebrospinal fluid shunting if medical therapy fails to control symptoms or prevent progressive vision loss.  ICD-10 code G93.2, Benign intracranial hypertension, is assigned.