Survey of Ophthalmology
Volume 47, Issue 5 , Pages 491-499, September 2002

A Sticky Situation☆☆☆★

Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson Medical College, Philadelphia, PA, USA

Abstract 

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.

Keywords:  anticardiolipin antibodies, anticoagulation, cranial venous sinus thrombosis, lupus anticoagulant, papilledema, pseudotumor cerebri

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☆ Comments by Valerie Biousse, MD, and Nancy J. Newman, MD

☆☆ (In keeping with the format of a clinical pathological conference, the abstract and key words appear at the end of the article.)

★ The authors reported no propietary or commercial interest in any product mentioned or concept discussed in this article. This study was supported in part by a departmental grant (department of Ophthalmology) from Research to Prevent Blindness, Inc, New York, New York, and by core grant P30-EY06360 (Department of Ophthalmology) from the National Institutes of Health, Bethesda, Maryland. Dr. Newman is a recipient of the Research to Prevent Blindness Lew R. Wasserman Merit Award.

PII: S0039-6257(02)00339-9

Survey of Ophthalmology
Volume 47, Issue 5 , Pages 491-499, September 2002

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