Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Report Volume 5 Issue 3

A Case Report of Extensive Cerebral Venous Sinus Thrombosis in a Patient with Behçet's Disease Revealed by Binocular Diplopia

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

References

  1. H Zeghidia., et al. La Revue de médecine interne 35 (2014): 97-102.
  2. Saadoun D., et al. “Cerebral venous thrombosis in Behçet disease”. Arthrisis Care and Research 61 (2009): 518-526.
  3. S Benamour., et al. Reviews Neurology (Paris) 162.11 (2006): 10841090 S.
  4. Houman M H., et al. “Les manifestations neurologiques de la maladie de Behçet : analyse d’une série de 27 patients”. La Revue de Médecine Interne 22 (2001): 51-52.
  5. Wechsler B., et al. “Manifestations neurologiques de la maladie de Behçet”. Reviews Neurology 158 (2002): 926-933.
  6. Houman M H., et al. “Les manifestationsneurologiques de la maladie de Behçet”. Revue de Médecine Interne 30 (2009): 238-242.
  7. Araji A A and Desmond K. “Neuro-Behçet’s disease: epidemiology, clinical characteristics, and management”. Lancet Neurology 8 (2009): 192-204.
  8. Dia D., et al. “La maladie de Behçet à Dakar: aspects épidémiologiques et cliniques”. Dakar Médical1 (2003): 64-67.
  9. Akman-Demir G., et al. “Clinical patterns of neurological involvement in Behçet’s disease : évaluation of 200 patients”. Brain 122 (1999): 2171-2182.
  10. Houman M H., et al. “Traitements actuels et perspectives thérapeutiques dans la maladie de Behçet”. La Presse Médicale 37 (2008): 25-35.

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.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US