J Korean Ophthalmol Soc.  1999 Jul;40(7):2015-2019.

Papilledema and Cere b ral Venous Thrombosis in a Patient with Systemic Lupus Ery thematosis

• Kim IT
• Chang SD

Abstract

A case of bilateral papilledema in a 18-year-old female with cerebral venous thrombosis and systemic lupus erythematosus is presented. Clinical symptoms were progressive headache and visual impairment in both eyes. Examinations showed long-standing papilledema, enlarged blind spots, and increased intracranial pressure with an otherwise normal neurological examinations. Cerebral venous thrombosis was diagnosed based on cerebral angiography or brain MRI. Clinical and laboratory findings were compatible with systemic lupus erytematosus. The patient was treated with prednisolone and acetazolamide to reduce the intracranial hypertension and was fully anticoagulated with heparin followed by warfarin. Both vision and enlarged blind spots improved to normal.

Keyword

Cerebral venous thrombosis; Intracranial hypertension; Papilledema; Systemic lupus erythematosus

MeSH Terms

Acetazolamide
Adolescent
Brain
Cerebral Angiography
Female
Headache
Heparin
Humans
Intracranial Hypertension
Intracranial Pressure
Lupus Erythematosus, Systemic
Magnetic Resonance Imaging
Neurologic Examination
Optic Disk
Papilledema*
Prednisolone
Venous Thrombosis*
Vision Disorders
Warfarin
Acetazolamide
Heparin
Prednisolone
Warfarin