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Open AccessCase Report

Bilateral Abducens Nerve Palsy Due to Extensive Cerebral Venous Sinus Thrombosis

1
Department of Neurology, Osijek University Hospital, Faculty of Medicine, University of Osijek, 31000 Osijek, Croatia
2
Department of Radiology, Osijek University Hospital, Faculty of Medicine, University of Osijek, 31000 Osijek, Croatia
*
Author to whom correspondence should be addressed.
Medicina 2019, 55(4), 115; https://doi.org/10.3390/medicina55040115
Received: 13 February 2019 / Revised: 3 March 2019 / Accepted: 19 April 2019 / Published: 23 April 2019
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Abstract

Cerebral venous sinus thrombosis (CVST) is a relatively rare condition. We present a case of an acute aseptic thrombosis of the sagittal, transverse and sigmoid sinus in a puerperium patient with protein S deficiency. The specifics of the case include high intracranial pressure (ICP) caused by sinus thrombosis with typical symptomatology and bilateral papilloedema, which also manifested in transient bilateral abducens nerve palsy and, consequently, bilateral horizontal diplopia. The recovery of the cranial nerve function occurred 3 to 4 weeks after it was initially reported. Prompt and adequate anticoagulant therapy contributed to the almost complete recanalization of the dural venous sinus thrombosis and a positive outcome of the disease. View Full-Text
Keywords: abducens palsy; cerebral venous sinus thrombosis; protein S deficiency; papilloedema abducens palsy; cerebral venous sinus thrombosis; protein S deficiency; papilloedema
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MDPI and ACS Style

Buljan, K.; Šarić, G.; Czersky Hafner, D.; Perković, R. Bilateral Abducens Nerve Palsy Due to Extensive Cerebral Venous Sinus Thrombosis. Medicina 2019, 55, 115.

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