Cerebral venous sinus thrombosis presenting with diplopia in pregnancy: a case report

Munira, Yusoff; Sakinah, Zakariah; Zunaina, Embong

doi:10.1186/1752-1947-6-336

Cited by 13 publications

(9 citation statements)

References 11 publications

(19 reference statements)

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“…Acquired risks factors include all the usual causes of VTE and additionally causes such as brain tumors,[ 18 ] head trauma,[ 19 ] central nervous system infections (bacterial meningitis, cerebral malaria,[ 20 21 22 23 ] intracranial hypotension,[ 24 25 26 27 28 29 ] any local head infection,[ 2 ] extracerebral neoplasias,[ 30 31 ] dural fistulas,[ 32 ] hematological conditions,[ 33 34 35 36 37 ] nephrotic syndrome,[ 38 39 40 41 ] systemic vasculitis,[ 42 43 44 ] medicaments (cisplatin,[ 45 ] methotrexate,[ 46 ] steroids), neurological surgery, lumbar puncture,[ 47 48 49 50 ] pregnancy,[ 1 51 52 53 54 ] Puerperium. [ 3 55 56 ] The Table 1 summarizes the risk factors associated to CSVT.…”

Section: Causes and Risk Factorsmentioning

confidence: 99%

Cerebral sinus venous thrombosis

Alvis-Miranda¹,

Castellar-Leones²,

Alcalá-Cerra

et al. 2013

Journal of Neurosciences in Rural Practice

109

129

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Cerebral sinus venous thrombosis (CSVT) is a rare phenomenon that can be seen with some frequency in young patients. CSVT is a multifactorial condition with gender-related specific causes, with a wide clinical presentation, the leading causes differ between developed and developing countries, converting CSVT in a condition characterized by a highly variable clinical spectra, difficult diagnosis, variable etiologies and prognosis that requires fine medical skills and a high suspicious index. Patients who presents with CSVT should underwent to CT-scan venography (CVT) and to the proper inquiry of the generating cause. This disease can affect the cerebral venous drainage and related anatomical structure. The symptoms may appear in relation to increased intracranial pressure imitating a pseudotumorcerebri. Prognosis depends on the early detection. Correcting the cause, generally the complications can be prevented. Mortality trends have diminished, and with the new technologies, surely it will continue. This work aims to review current knowledge about CSVT including its pathogenesis, etiology, clinical manifestations, diagnosis, and treatment.

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Section: Causes and Risk Factorsmentioning

confidence: 99%

Cerebral sinus venous thrombosis

Alvis-Miranda¹,

Castellar-Leones²,

Alcalá-Cerra

et al. 2013

Journal of Neurosciences in Rural Practice

109

129

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“…She received anticoagulation for one year and was reported to make a complete recovery. 10 To alleviate diplopia, occlusion of the one eye (spectacle occluder) is recommended. Management of isolated sixth nerve palsy is directed towards the underlying aetiology.…”

Section: Discussionmentioning

confidence: 99%

The diagnostic dilemma of a pregnant woman presenting with an isolated sixth nerve palsy: A case report

et al. 2019

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Pregnant women presenting with isolated cranial palsies are uncommon. Isolated sixth nerve (abducens nerve) palsy can occur for a variety of reasons and neuroimaging is often performed to identify an underlying cause. We report a case of a woman in her third pregnancy with preeclampsia who presented with an isolated sixth nerve palsy. The diagnosis of aseptic cavernous sinus thrombosis was made and she subsequently made a full recovery.

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“…Severe papilledema can cause visual impairments which is transient initially but if not treated timely the vision loss may be permanent. [3] On an average there is delay of one week from the onset of symptoms to make the diagnosis. [2] MRI with MRV is the most sensitive method to diagnose dural venous sinuses and cerebral vein thrombosis.…”

Section: Discussionmentioning

confidence: 99%