Papilloedema associated with dural venous sinus thrombosis

Tara Leigh O'Rourke, W. Scott Slagle, Meghan Elkins, Daniel Eckermann, Angela Musick

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Papilloedema is a diagnostic term used exclusively to describe optic disc oedema associated with increased intracranial pressure. Septic cerebral venous sinus thrombosis has become an increasingly rare cause of papilloedema because of the widespread availability of antimicrobial agents; however, it is imperative for optometrists to maintain vigilance for this pathologic process. Presented is a case of a 77-year-old Caucasian male with a complaint of blurred vision and non-specific, diffuse headache. He had a right sixth cranial nerve palsy and bilateral disc oedema. Raised intracranial pressure was confirmed by lumbar puncture. Neuroimaging, including magnetic resonance imaging and magnetic resonance venography in conjunction with cytological assessment of the cerebral spinal fluid led to a probable diagnosis of mastoiditis causing multiple dural venous sinus thrombi of the superior sagittal and right transverse sinuses. Sequential evaluation of this complex case is displayed along with pertinent differential diagnoses for optic disc oedema and a review of current standards for diagnosis and management of papilloedema from dural sinus thrombosis.

Original languageEnglish (US)
Pages (from-to)133-139
Number of pages7
JournalClinical and Experimental Optometry
Volume97
Issue number2
DOIs
StatePublished - Mar 1 2014

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Intracranial Sinus Thrombosis
Papilledema
Venous Thrombosis
Intracranial Pressure
Mastoiditis
Abducens Nerve Diseases
Superior Sagittal Sinus
Transverse Sinuses
Spinal Puncture
Phlebography
Pathologic Processes
Anti-Infective Agents
Neuroimaging
Headache
Edema
Thrombosis
Differential Diagnosis
Magnetic Resonance Spectroscopy
Magnetic Resonance Imaging

All Science Journal Classification (ASJC) codes

  • Ophthalmology
  • Optometry

Cite this

O'Rourke, Tara Leigh ; Slagle, W. Scott ; Elkins, Meghan ; Eckermann, Daniel ; Musick, Angela. / Papilloedema associated with dural venous sinus thrombosis. In: Clinical and Experimental Optometry. 2014 ; Vol. 97, No. 2. pp. 133-139.
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Papilloedema associated with dural venous sinus thrombosis. / O'Rourke, Tara Leigh; Slagle, W. Scott; Elkins, Meghan; Eckermann, Daniel; Musick, Angela.

In: Clinical and Experimental Optometry, Vol. 97, No. 2, 01.03.2014, p. 133-139.

Research output: Contribution to journalArticle

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