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Acute Proptosis: A Sign of Venous Hemorrhagic Infarct

Acute proptosis is a very rare condition presenting to the emergency department. As there are very few case reports of patients with acute onset proptosis, it is important to report each new case. This case report is of a 38-year-old lady who presented to our emergency department with a headache for...

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Detalles Bibliográficos
Autores principales: Ilyas, Waseem M, Chavan, Gajanan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709584/
https://www.ncbi.nlm.nih.gov/pubmed/36465746
http://dx.doi.org/10.7759/cureus.30891
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author Ilyas, Waseem M
Chavan, Gajanan
author_facet Ilyas, Waseem M
Chavan, Gajanan
author_sort Ilyas, Waseem M
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description Acute proptosis is a very rare condition presenting to the emergency department. As there are very few case reports of patients with acute onset proptosis, it is important to report each new case. This case report is of a 38-year-old lady who presented to our emergency department with a headache for three days, altered sensorium for eight hours, and acute proptosis of the left eye for 40 minutes. She was diagnosed to have a venous hemorrhagic infarct in the left parietal-occipital-temporal region with thrombosis of the left transverse and sigmoid sinuses. To the best of our knowledge, there is no documented case report or study which featured acute proptosis as a clinical sign in a patient with venous hemorrhagic infarct or where acute proptosis was associated with thrombosis of a cerebral venous sinus other than cavernous sinus. This study shows that acute proptosis can be a presenting sign even in venous hemorrhagic infarct and acute proptosis can be associated with cerebral sinus venous thrombosis even without the involvement of cavernous sinus. So although rare, venous hemorrhagic infarct and cerebral venous sinus thrombosis irrespective of the venous sinus involved should be considered in any patient presenting to the emergency department with acute onset proptosis.
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spelling pubmed-97095842022-12-01 Acute Proptosis: A Sign of Venous Hemorrhagic Infarct Ilyas, Waseem M Chavan, Gajanan Cureus Emergency Medicine Acute proptosis is a very rare condition presenting to the emergency department. As there are very few case reports of patients with acute onset proptosis, it is important to report each new case. This case report is of a 38-year-old lady who presented to our emergency department with a headache for three days, altered sensorium for eight hours, and acute proptosis of the left eye for 40 minutes. She was diagnosed to have a venous hemorrhagic infarct in the left parietal-occipital-temporal region with thrombosis of the left transverse and sigmoid sinuses. To the best of our knowledge, there is no documented case report or study which featured acute proptosis as a clinical sign in a patient with venous hemorrhagic infarct or where acute proptosis was associated with thrombosis of a cerebral venous sinus other than cavernous sinus. This study shows that acute proptosis can be a presenting sign even in venous hemorrhagic infarct and acute proptosis can be associated with cerebral sinus venous thrombosis even without the involvement of cavernous sinus. So although rare, venous hemorrhagic infarct and cerebral venous sinus thrombosis irrespective of the venous sinus involved should be considered in any patient presenting to the emergency department with acute onset proptosis. Cureus 2022-10-31 /pmc/articles/PMC9709584/ /pubmed/36465746 http://dx.doi.org/10.7759/cureus.30891 Text en Copyright © 2022, Ilyas et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Ilyas, Waseem M
Chavan, Gajanan
Acute Proptosis: A Sign of Venous Hemorrhagic Infarct
title Acute Proptosis: A Sign of Venous Hemorrhagic Infarct
title_full Acute Proptosis: A Sign of Venous Hemorrhagic Infarct
title_fullStr Acute Proptosis: A Sign of Venous Hemorrhagic Infarct
title_full_unstemmed Acute Proptosis: A Sign of Venous Hemorrhagic Infarct
title_short Acute Proptosis: A Sign of Venous Hemorrhagic Infarct
title_sort acute proptosis: a sign of venous hemorrhagic infarct
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709584/
https://www.ncbi.nlm.nih.gov/pubmed/36465746
http://dx.doi.org/10.7759/cureus.30891
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