Open AccessCOVID-19-associated papilledema secondary to cerebral venous thrombosis in a young patient
Author(s) -
Shruthy Vaishali Ramesh,
Ramesh Rajasekaran,
Meena Kumari Ramesh,
Veenashankari Padmanabhan,
Ramesh Rajasekaran
Publication year - 2021
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_2660_20
Subject(s) - medicine , papilledema , venous thrombosis , thrombosis , covid-19 , magnetic resonance imaging , intracranial thrombosis , visual acuity , presentation (obstetrics) , respiratory distress , erythrocyte sedimentation rate , radiology , surgery , disease , infectious disease (medical specialty)
The severity of coronavirus disease 2019 (COVID-19) has been frequently associated with acute respiratory distress syndrome. In this case report, an atypical presentation of COVID-19 in young with a thromboembolic event is reported. The patient initially presented with fever of unknown origin not responding to therapy. On examination, visual acuity was 20/20 in both eyes with bilateral disc oedema and disc haemorrhage in the right eye. Erythrocyte sedimentation rate, C-reactive protein and D-Dimer were elevated. Magnetic resonance venography (MRV) revealed features suggestive of cerebral venous thrombosis. Timely diagnosis and intervention have prevented a fatal outcome.