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

Kim, In Taek; Chang, Sung Dong

Original Article

Journal of the Korean Ophthalmological Society 1999;40(7):2015-2019.
Published online July 1, 1999.

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

In Taek Kim, Sung Dong Chang

Department of Ophthalmology, School of Medicine, Kyungpook National University, Taegu, Korea.

전신성홍반성루푸스에서 울혈유두와 대뇌정맥혈전증

김인택(In Taek Kim),장성동(Sung Dong Chang)

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.

Key Words: Cerebral venous thrombosis;Intracranial hypertension;Papilledema;Systemic lupus erythematosus