Cerebral venous thrombosis presenting with isolated vision loss misdiagnosed as optic neuritis

  • Jing Lu
  • Guoming Zhang
  • Tingting Lu
  • Wei QiuEmail author
Letter to the Editor

Dear Editor,

Cerebral venous thrombosis (CVT) is a rare cerebrovascular condition with an annual incidence of 12.3 per million [1]. It represents approximately 0.5–1% of all strokes, usually affecting young individuals, and is more frequent in females [1, 2]. The diagnosis and management of CVT remain challenging due to its variable clinical manifestations, diverse underlying causes, and the lack of uniform treatment approaches. Headache is the most common symptom presenting in 90% of patients. Less common symptoms are hemiparesis, seizures, impaired consciousness, and visual disturbance [1]. CVT presenting with isolated papilledema and vision loss is extremely rare [3, 4]. Here, we report a case of CVT with vision loss as the first and sole symptom, which had initially been misdiagnosed.

A 32-year-old woman presented with a 2-month history of painless progressive vision loss in both eyes. She had a 3-month history of pelvic inflammatory disease without regular treatment. She reported...



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Conflict of interest

The authors declare that they have no conflict of interest.

Research involving human participants

This article does not contain any studies with human participants performed by any of the authors.

Informed consent

Informed consent was obtained from the individual patient.


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Copyright information

© Belgian Neurological Society 2019

Authors and Affiliations

  1. 1.Shenzhen Key Laboratory of Ophthalmology, Shenzhen Eye HospitalShenzhen UniversityShenzhenChina
  2. 2.Department of NeurologyThird Affiliated Hospital of Sun Yat-Sen UniversityGuangzhouChina

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