Open AccessPapilledema revisiting after sinus angioplasty of chronic cerebral venous sinus thrombosis
Author(s) -
Vaibhav Jain,
Vivek Singh,
Vikas Kannaujia,
Priyadarshini Mishra,
Rajendra V. Phadke,
Rajni Sharma
Publication year - 2018
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_930_17
Subject(s) - medicine , papilledema , digital subtraction angiography , cerebral venous sinus thrombosis , radiology , angioplasty , arteriovenous malformation , thrombosis , sinus (botany) , embolization , magnetic resonance angiography , angiography , surgery , magnetic resonance imaging , botany , biology , genus
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.