Maha Omari Betahi,* Saley Hamidou Idrissa, Ahmed Bennis, Fouad Chraibi, Meriem Abdellaoui, Idriss Benatiya Andaloussi

Department of Ophthalmology, University Hospital Center Hassan II - CHU-FEZ, Morocco

*Corresponding Author: Maha Omari Betahi, Department of Ophthalmology, University Hospital Center Hassan II - CHU-FEZ, Morocco.

Received: December 27, 2021; Published: February 16, 2022

Abstract

A 34 year-old patient was admitted in our department for diplopia associated with headache. In his background, he was followed in the Internal Medicine Department for Behçet's disease manifested by bipolar aphtosis and deep vein thrombosis (DVT) of the lower extremities. Ophthalmological examination revealed a VA of 10/10 with a grade III papilledema. The CT scan showed a filling defect of the lateral sinus and superior longitudinal sinus with a "delta" sign in favour of dural venous sinus thrombosis leading to for the diagnosis of cerebral angio-Behçet. MRI confirmed the diagnosis by demonstrating extensive cerebral venous sinus thrombosis (CVST) of the superior longitudinal sinus, sinus rectus, lateral sinus, left sigmoid sinus, and left internal jugular vein. The treatment was based on the corticosteroid (methylprénisolone) with anticoagulant (Low molecular weight heparin and antivitamine K) and colchicine. The outcome was favorable with an easing of the headache and diplopia.

Keywords: Behçet's Disease; Vasculitis; Cerebral Venous Thrombosis; Diplopia

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Citation

Citation: Maha Omari Betahi., et al. “A Case Report of Extensive Cerebral Venous Sinus Thrombosis in a Patient with Behçet's Disease Revealed by Binocular Diplopia".Acta Scientific Ophthalmology 5.3 (2022): 33-37.

Copyright

Copyright: © 2022 Maha Omari Betahi., et al. 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.