The paper describes the case of a 5-year-old child presenting with acute headache and bilateral papilledema on fundus examination. Brain MRI was unremarkable, while subsequent ophthalmologic evaluations identified optic nerve drusen as the cause of the pseudopapilledema. Optic nerve drusen, calcified hyaline deposits within the optic disc, may mimic papilledema in children and are associated with visual field defects in a significant proportion of cases. This case highlights the importance of distinguishing true papilledema from pseudopapilledema to avoid unnecessary invasive procedures and reduce family distress.