Superior Ophthalmic Vein Thrombosis with Cerebral Venous Sinus Thrombosis: A Rare Entity in a Child

  • Kanij Fatema Associate Professor, Department of Pediatric Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Muhammad Mizanur Rahman Professor, Department of Pediatric Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Laila Areju Man Banu Phase-B Student, Department of Pediatric Neurology and Neurodevelopment, Bangabandhu Sheikh Mujib Medical University, Dhaka
Keywords: Superior ophthalmic vein thrombosis; Cerebral venous sinus thrombosis; Rivaroxaban; Acetazolamide

Abstract

Cerebral venous sinus thrombosis (CVST) is a rare stroke-like syndrome. Sometimes it may be rarely associated with ophthalmic vein occlusion. We present a 10-year-old girl who had severe headache, diplopia, severe congestion of eye, proptosis and orbital pain. She had no signs of meninigeal irritation, no focal deficit except left sided lateral rectus palsy and altered visual acuity. Investigations regarding vasculitis and thrombophillia were normal except thrombocytosis. MRI of brain showed ‘dense triangle sign’ and thickened superior ophthalmic vein. Magnetic resonance venography (MRV) showed occlusion of superior sagital sinus and transverse sinus. She was treated with paracetamol, acetazolamide, rivaroxaban and antibiotics followed by high dose pulse methyl prednisolone. She made a partial recovery within one week and at 3 months follow-up she was completely normal.

J Enam Med Col 2019; 9(2): 127-132

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Abstract
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PDF
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Published
2019-05-16
How to Cite
Fatema, K., Rahman, M. M., & Banu, L. A. (2019). Superior Ophthalmic Vein Thrombosis with Cerebral Venous Sinus Thrombosis: A Rare Entity in a Child. Journal of Enam Medical College, 9(2), 127-132. https://doi.org/10.3329/jemc.v9i2.41415
Section
Case Reports