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Papilloedema associated with dural venous sinus thrombosis
Tara Leigh O'Rourke1, W Scott Slagle, Meghan Elkins
1Salem Veterans Affairs Medical Center, Salem, Virginia, USA. tara.whitehead@hotmail.com.
Clinical & Experimental Optometry
|July 20, 2013
Summary
Papilloedema, optic disc swelling due to increased intracranial pressure, can rarely be caused by septic cerebral venous sinus thrombosis. Optometrists must remain vigilant for this serious condition.
Area of Science:
- Ophthalmology
- Neurology
- Infectious Diseases
Background:
- Papilloedema signifies elevated intracranial pressure.
- Septic cerebral venous sinus thrombosis is a rare but critical cause.
- Antimicrobial availability has reduced its incidence, but vigilance is key.
Observation:
- A 77-year-old male presented with blurred vision and headache.
- He exhibited a sixth cranial nerve palsy and bilateral disc oedema.
- Lumbar puncture confirmed raised intracranial pressure.
Findings:
- Neuroimaging (MRI/MRV) and CSF analysis suggested mastoiditis leading to dural venous sinus thrombosis (superior sagittal and right transverse sinuses).
- This case highlights a rare etiology of papilloedema.
Implications:
- Optometrists must consider septic cerebral venous sinus thrombosis in papilloedema diagnosis.
- Early recognition and management are crucial for preventing severe neurological sequelae.
- This case underscores the importance of a comprehensive diagnostic approach for optic disc oedema.
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