Introduction: Idiopathic intracranial hypertension is a neuro-metabolic disorder comprising elevated cerebrospinal fluid pressure of unknown cause, which occurs commonly in women with obesity. Idiopathic intracranial hypertension is frequently diagnosed due to increased awareness and knowledge of magnetic resonance imaging findings. The first approach in such a situation is to rule out pseudo papilledema, to confirm the findings on magnetic resonance imaging, and to further confirm with lumbar puncture. Limited literature is available regarding the presentation and prognosis of asymptomatic idiopathic intracranial hypertension. Papilloedema may be incidentally observed during routine fundus examination in patients with symptoms. Case report: This case report describes the clinical presentation, diagnostic evaluation, and management of a 21-year-old female with asymptomatic idiopathic intracranial hypertension. The patient was found incidentally with bilateral papilledema during a regular health check-up, prompting a thorough investigation to rule out secondary causes of elevated intracranial pressure. The patient was initially managed with topiramate for 6 months. A resolving trend of papilledema was seen during the follow-up period of 3 months. Conclusions: The report highlights the challenges in managing asymptomatic idiopathic intracranial hypertension, emphasising the importance of a multidisciplinary approach for optimal patient care.