DR. ANUP KUMAR GOSWAMI

DR. KIRANMAYI KATAREY

Abstract

A 36yr old male presented with headache,some loss of vision both eyes for 5 days.Vision was 6/6 OU with normal pupillary reflexes,ant segments and fundi.He was referred to neurologist for opinion.Few days later patient landed in emergency with severe headache,slurring of speech & tonic-clonic seizure,known alcoholic with no systemic illness.NCCT showed hyperintensity in falx cerebri.MRvenogram confirmed cerebral venous thrombosis(CVT) in sup sagittal,right transverse and sigmoid sinuses & Enoxaparin started.He was referred to us for fundus examination which revealed severe bilateral papilledema with extensive,large disc hemorrhages.Papilledema presents in about 28-54% patients with CVT or may develop later or worsen after presentation.Serial ophthalmic evaluation in CVT is crucial because of unpredictable course of papilloedema & risk of visual impairment.High index of suspicion be kept for CVT in headache cases in absence of signs of raised intracranial tension for this rare diagnosis