Eye Is the Window of Brain – Does It Hold True in Case of Cerebral Sinovenous Thrombosis?

Abstract

Cortical sinovenous thrombosis is not an uncommon condition encountered in inpatient settings. This is a disease with high-risk outcomes and our present knowledge about its prevention and definitive treatment is meager. Physicians world over treat this condition with combination of antimicrobials, low-molecular-weight heparin (LMWH), other supportive measures as per situation and rarely with neurosurgical interventions, if required. Once the patient starts improving, the sinovenous thrombosis and subdural collection resolve along with the orbital cellulitis or any other external focus that was present at the onset of disease including the cranial nerve deficits which as well resolves partially or completely. Surprisingly, we treated one such case where improvement in the externally visible signs was found to be associated with increase in the size of subdural hematoma. This makes it a relevant and interesting experience to share