Department of Ophthalmology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Indian J Ophthalmol. 2018 May;66(5):714-717. doi: 10.4103/ijo.IJO_930_17.
This case series aimed to review the significance of revisiting papilledema after successful cerebral venous sinus thrombosis (CVST) management with sinus angioplasty. Four patients presented with blurring and transient obscuration of vision with papilledema, headache, tinnitus, and vomiting. On magnetic resonance venography and digital subtraction angiography, chronic transverse sinus thrombosis was diagnosed for which patients underwent endovascular intervention (stenting). After the resolution of CVST, patients developed the recurrence of symptoms which on digital subtraction angiography revealed dural arteriovenous malformation (DAVM). DAVM and papilledema resolved with endovascular embolization. This case series highlights a need of constant monitoring of CVST cases after the endovascular intervention.
本病例系列旨在回顾经血管成形术成功治疗脑静脉窦血栓形成(CVST)后重新出现视乳头水肿的意义。4 名患者出现视物模糊和短暂视力障碍、头痛、耳鸣和呕吐。磁共振静脉造影和数字减影血管造影诊断为慢性横窦血栓形成,患者接受了血管内介入治疗(支架置入术)。CVST 缓解后,患者出现症状复发,数字减影血管造影显示为硬脑膜动静脉畸形(DAVM)。DAVM 和视乳头水肿经血管内栓塞治疗缓解。本病例系列强调了 CVST 患者在血管内介入治疗后需要进行持续监测。