Pakter Grant Jason
Department of Ophthalmology, Calderdale and Huddersfield NHS Trust, Huddersfield Royal Infirmary, Huddersfield, UK.
BMJ Case Rep. 2012 Sep 17;2012:bcr2012006814. doi: 10.1136/bcr-2012-006814.
The case of a 59-year-old Caucasian man who presented with a 6-week history of intermittent blurring of vision and diplopia is reported. Fundoscopy revealed asymmetrical, bilateral optic disc swelling with peripapillary haemorrhages. An initial CT scan and D-dimer level were reported as normal. A subsequent MRI revealed a recanalising superior sagittal sinus thrombosis. Cerebral venous sinus thrombosis is a rare and potentially fatal condition. The author suggests that it should be part of the differential diagnosis of bilateral optic disc swelling and that a normal unenhanced CT scan and D-dimer would not rule out this potentially devastating condition.
报告了一例59岁的白种男性病例，该患者有6周间歇性视力模糊和复视病史。眼底镜检查发现双侧视盘不对称性肿胀并伴有视乳头周围出血。最初的CT扫描和D-二聚体水平报告为正常。随后的MRI显示上矢状窦再通血栓形成。脑静脉窦血栓形成是一种罕见且可能致命的疾病。作者认为，它应作为双侧视盘肿胀鉴别诊断的一部分，并且CT平扫正常和D-二聚体正常并不能排除这种潜在的严重疾病。
