Journal of Neuro-Ophthalmology

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Journal of Neuro-Ophthalmology:
doi: 10.1097/WNO.0000000000000087
Clinical Observation

Optic Nerve Sheath Fenestration for the Treatment of Papilledema Secondary to Cerebral Venous Thrombosis

Murdock, Jennifer MD; Tzu, Jonathan H. MD; Schatz, Norman J. MD; Lee, Wendy W. MD

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Abstract: A 16-year-old adolescent girl with multiple risk factors for thrombosis presented with acute onset of headache, decreased vision, and papilledema. Evaluation demonstrated cerebral venous thrombosis (CVT) involving the left transverse and sigmoid sinuses and left internal jugular vein. Following bilateral optic nerve sheath fenestration (ONSF), she experienced improvement in vision and resolution of papilledema. In selected cases, ONSF is an effective surgical option for the treatment of papilledema due to CVT after medical treatment has failed.

© 2014 by North American Neuro-Ophthalmology Society


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