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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

Journal of Neuro-Ophthalmology: March 2014 - Volume 34 - Issue 1 - p 67–69
doi: 10.1097/WNO.0000000000000087
Clinical Observation

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.

University of Miami Miller School of Medicine (JM), Miami, Florida; and Bascom Palmer Eye Institute (JHT, NJS, WWL), University of Miami Miller School of Medicine, Miami, Florida.

Address correspondence to Jennifer Murdock, MD, 1688 West Avenue #406, Miami Beach, FL 33139; E-mail:

The authors report no conflicts of interest.

© 2014 by North American Neuro-Ophthalmology Society