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CASE REPORT
Year : 2019  |  Volume : 31  |  Issue : 1  |  Page : 57-59

Papilledema due to cerebral venous thrombosis in obstructive sleep apnea


1 Department of Neuro-Ophthalmology, Dr. Tony Fernandez Eye Hospital, Aluva, Kerala, India
2 Department of Neurology, Rajagiri Hospital, Aluva, Kerala, India

Correspondence Address:
Revati Ramesh
Department of Neuro-Ophthalmology, Dr. Tony Fernandez Eye Hospital, Aluva - 683 101, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/kjo.kjo_18_19

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A 59-year-old male presented with episodic headaches and blurring vision, and papilledema (PE) on examination. He had been advised continuous positive airway pressure (CPAP) treatment for moderate obstructive sleep apnea (OSA) and an apneic–hypopneic index of 21 but had not commenced the treatment. Magnetic resonance imaging of the brain was normal, but a contrast examination was not done. Magnetic resonance venography performed to assess the PE, revealed cerebral venous thrombosis (CVT) affecting the superior sagittal, transverse, and sigmoid sinuses. Oral anticoagulants and CPAP resulted in a speedy reversal of both PE and CVT. CVT may complicate OSA and require identification and treatment. Contrast studies are crucial in the evaluation.


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