A sticky situation.
A 19-year-old woman presented with frontal headaches, papilledema, and binocular horizontal double vision due to a left VI nerve palsy. MRV demonstrated sagittal sinus and bilateral transverse sinus thrombosis. The clinical and neuro-radiologic signs resolved after anticoagulation.
Castillo
Ivan G
IG
Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson Medical College, Philadelphia, PA 19107, USA.
Foroozan
Rod
R
Sergott
Robert C
RC
D020434:Abducens Nerve Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D000328:Adult; D017153:Antibodies, Anticardiolipin / Q000032:analysis; D000974:Antibodies, Antinuclear / Q000032:analysis; D000925:Anticoagulants / Q000627:therapeutic use; D004172:Diplopia / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006261:Headache / Q000209:etiology / Q000473:pathology; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D016682:Lupus Coagulation Inhibitor / Q000032:analysis; D008279:Magnetic Resonance Imaging; D010211:Papilledema / Q000175:diagnosis / Q000209:etiology; D010690:Phlebography; D012851:Sinus Thrombosis, Intracranial / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D058609:Visual Field Tests; D014794:Visual Fields; D014859:Warfarin / Q000627:therapeutic use
D017153:Antibodies, Anticardiolipin; D000974:Antibodies, Antinuclear; D000925:Anticoagulants; D016682:Lupus Coagulation Inhibitor; D014859:Warfarin; D006493:Heparin