A Bloody Mess!

Survey of Ophthalmology
M C Brodsky, Valérie Biousse

Abstract

A 15-year-old girl presented with a unilateral sixth nerve palsy and papilledema after a severe headache. Magnetic resonance imaging showed thrombosis of the superior sagittal sinus and proximal right transverse sinus that were attributed to oral contraceptive use after a coagulation workup was negative. Systemic anticoagulation caused a hemorrhagic papillopathy in both eyes, raising the question as to whether anticoagulation should be discontinued. Diagnostic and management issues regarding cerebral venous sinus thrombosis with secondary intracranial hypertension are discussed.

Citations

Nov 3, 2020·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Chaitanya B MedicherlaJose L Torres
Nov 14, 2020·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Chaitanya B MedicherlaJose L Torres

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