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Delayed Onset Bilateral Papilledema in a Young Boy’s Eyes after Trauma
Cerebral venous sinus thrombosis (CVST) is a rare venous thromboembolic disease that affects young adults in their thirties, with a female predilection. Head trauma accounts for only 1–3% of cases among possible etiologies. Here, we present a particular case of trauma-related CVST with delayed-onset...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8780981/ https://www.ncbi.nlm.nih.gov/pubmed/35056449 http://dx.doi.org/10.3390/medicina58010140 |
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author | Lin, Ting-Yi Chien, Ke-Hung |
author_facet | Lin, Ting-Yi Chien, Ke-Hung |
author_sort | Lin, Ting-Yi |
collection | PubMed |
description | Cerebral venous sinus thrombosis (CVST) is a rare venous thromboembolic disease that affects young adults in their thirties, with a female predilection. Head trauma accounts for only 1–3% of cases among possible etiologies. Here, we present a particular case of trauma-related CVST with delayed-onset symptoms and signs in a young boy. A 12-year-old boy presented to the emergency department with non-specific visual symptoms 11 days after head trauma. Apart from mild-grade disc swelling in the right eye and dyschromatopsia in both eyes, no significant findings were revealed during physical examinations and a non-contrast cranial computed tomography (CT) scan. Unfortunately, the patient suffered multiple seizure attacks the following day. Trauma-related CVST, complicated by delayed-onset increased intracranial pressure, and bilateral papilledema were finally diagnosed. Physicians need increased awareness of a possible CVST diagnosis if a patient with a history of head trauma shows persistent or worsening neurological symptoms despite negative results on serial non-contrast cranial CT scans. |
format | Online Article Text |
id | pubmed-8780981 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87809812022-01-22 Delayed Onset Bilateral Papilledema in a Young Boy’s Eyes after Trauma Lin, Ting-Yi Chien, Ke-Hung Medicina (Kaunas) Case Report Cerebral venous sinus thrombosis (CVST) is a rare venous thromboembolic disease that affects young adults in their thirties, with a female predilection. Head trauma accounts for only 1–3% of cases among possible etiologies. Here, we present a particular case of trauma-related CVST with delayed-onset symptoms and signs in a young boy. A 12-year-old boy presented to the emergency department with non-specific visual symptoms 11 days after head trauma. Apart from mild-grade disc swelling in the right eye and dyschromatopsia in both eyes, no significant findings were revealed during physical examinations and a non-contrast cranial computed tomography (CT) scan. Unfortunately, the patient suffered multiple seizure attacks the following day. Trauma-related CVST, complicated by delayed-onset increased intracranial pressure, and bilateral papilledema were finally diagnosed. Physicians need increased awareness of a possible CVST diagnosis if a patient with a history of head trauma shows persistent or worsening neurological symptoms despite negative results on serial non-contrast cranial CT scans. MDPI 2022-01-17 /pmc/articles/PMC8780981/ /pubmed/35056449 http://dx.doi.org/10.3390/medicina58010140 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Lin, Ting-Yi Chien, Ke-Hung Delayed Onset Bilateral Papilledema in a Young Boy’s Eyes after Trauma |
title | Delayed Onset Bilateral Papilledema in a Young Boy’s Eyes after Trauma |
title_full | Delayed Onset Bilateral Papilledema in a Young Boy’s Eyes after Trauma |
title_fullStr | Delayed Onset Bilateral Papilledema in a Young Boy’s Eyes after Trauma |
title_full_unstemmed | Delayed Onset Bilateral Papilledema in a Young Boy’s Eyes after Trauma |
title_short | Delayed Onset Bilateral Papilledema in a Young Boy’s Eyes after Trauma |
title_sort | delayed onset bilateral papilledema in a young boy’s eyes after trauma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8780981/ https://www.ncbi.nlm.nih.gov/pubmed/35056449 http://dx.doi.org/10.3390/medicina58010140 |
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