Intracranial hypertension and jugular vein thrombosis

Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
J KonradI Oberacher-Velten

Abstract

Pseudotumor cerebri is an idiopathic increase in intracranial pressure, which commonly affects obese women of fertile age. The diagnostic criteria according to the guidelines of the German Society for Neurology are increased cerebrospinal fluid (CSF) pressure, symptoms of increased CSF pressure, normal results of CSF examination, no relevant medication and a lack of structural and vascular lesions in magnetic resonance imaging (MRI). This article presents the case of a 39-year-old male patient who presented at hospital with visual obscuration and recently occurred double vision. Except for a recently diagnosed thrombosis of the left jugular vein of unknown origin, there was nothing else of note in the medical history. Biomicroscopic examination showed papilledema with hemorrhages and cotton wool spots. The CSF opening pressure was initially > 50 cmH2O. During therapy by lumbar puncture (three times), oral carbonic anhydrase inhibitors and loop diuretics, the abducens nerve palsy and papilledema receded. Anticoagulation therapy (initially with coumarin derivatives, then with low molecular weight heparins) was unsuccessful in eliminating the thrombosis of the jugular vein. Surgical intervention was not recommended by the vascular...Continue Reading

References

Mar 3, 2007·HNO·J Stern-SträterB A Stuck
Oct 17, 2008·Neurology·B B BruceV Biousse
Dec 1, 2009·Journal of the Neurological Sciences·J Alexander FraserValérie Biousse
Apr 20, 2010·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·Anat KeslerShlomo Berliner
Jun 24, 2011·American Journal of Ophthalmology·Beau B BruceNancy J Newman
Apr 19, 2013·Current Opinion in Neurology·Jan Hoffmann, Peter J Goadsby
Aug 13, 2013·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·M H BehrendtM Klopfer
Apr 24, 2014·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·K Rüther

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