Resolution of papilloedema secondary to cerebral venous sinus thrombosis: A case report.

Vatsala Vats; Shreshtha Sharda; Sumit Oli

doi:10.51168/h55wxt63

Autori

Vatsala Vats Professor and Head, Ophthalmology, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, Uttarakhand, India
Shreshtha Sharda Junior Resident, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, Uttarakhand, India
Sumit Oli Junior Resident, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, Uttarakhand, India

DOI:

https://doi.org/10.51168/h55wxt63

Cuvinte cheie:

Papilloedema, CVST, Fundus, Vision

Rezumat

Purpose
To report a case of bilateral papilloedema secondary to cerebral venous sinus thrombosis (CVST) in association with vitamin B12 deficiency, emphasizing the importance of early recognition and management to achieve resolution of papilloedema with full visual recovery.

Observations
A 44-year-old female presented with a 1-month history of headache and blurred vision. Ophthalmological evaluation revealed visual acuity of 6/6 in the right eye and 6/9 in the left eye, normal intraocular pressure (IOP), and bilateral Grade 3 papilloedema on fundus examination. Magnetic Resonance Venography (MRV) identified thrombosis of the left transverse and sigmoid sinuses, confirming CVST. Laboratory investigations revealed low serum vitamin B12 levels. The patient was started on anticoagulation therapy and vitamin B12 supplementation. Over the following 8 weeks, her symptoms improved significantly, and fundus examination showed complete resolution of papilloedema with recovery of visual function

Conclusion
This case shows that a timely medical intervention can produce favourable visual outcomes in cases of papilloedema and highlights it to be a reversible entity with optimum visual recovery.

Importance
Prompt diagnosis and targeted therapy in patients with papilloedema due to CVST can lead to full visual recovery, underscoring the reversible nature of this condition when managed early.

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