Abstract
Cerebral venous sinus thrombosis (CVST) is a rare stroke-like syndrome. Sometimes it may be rarely associated with ophthalmic vein occlusion. We present a 10-year-old girl who had severe headache, diplopia, severe congestion of eye, proptosis and orbital pain. She had no signs of meninigeal irritation, no focal deficit except left sided lateral rectus palsy and altered visual acuity. Investigations regarding vasculitis and thrombophillia were normal except thrombocytosis. MRI of brain showed ‘dense triangle sign’ and thickened superior ophthalmic vein. Magnetic resonance venography (MRV) showed occlusion of superior sagital sinus and transverse sinus. She was treated with paracetamol, acetazolamide, rivaroxaban and antibiotics followed by high dose pulse methyl prednisolone. She made a partial recovery within one week and at 3 months follow-up she was completely normal.
 J Enam Med Col 2019; 9(2): 127-132
Highlights
Cerebral venous sinus thrombosis (CVST) is a rare stroke-like syndrome occurring in only two to five cases per million per year.[1]
Superior ophthalmic vein thrombosis (SOVT) is another clinical entity which is rare in pediatric population
We present a case of a SOVT and CVST occurring in a 10-year-old girl
Summary
Cerebral venous sinus thrombosis (CVST) is a rare stroke-like syndrome occurring in only two to five cases per million per year.[1] It has a significant morbidity and mortality This entity is associated with hypercoagulable states and can present with simple headaches to localizing neurologic deficits, frank seizures, and coma. A 10-year-old girl presented with headache for 2 months, redness of eye for 2 weeks and fever for 7 days. Prior to this illness she was in good health. Her fever was low grade and irregular in nature She had no history of seizure, loss of consciousness, trauma in head, palpitation, breathlessness, skin rash, photophobia, oral ulcer, contact with tuberculosis patient, joint pain, ear/eye/sinus infection and urinary problem. After three months the girl was completely normal without any residual focal deficit, eye abnormalities or headache
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