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Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 349-351

Facial palsy as an atypical presenting sign of cortical venous thrombosis

Department of Neuro-Ophthalmology, Aravind Eye Hospital, Madurai, Tamil Nadu, India

Correspondence Address:
Dr. Anju Ajitha Jayaprakash
Aravind Eye Hospital, Anna Nagar, Madurai, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1910_20

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A 39-year-old woman presented with inability to close left eye for 1 day and headache for 1 week. Neurologist evaluation revealed left lower motor neuron facial palsy and was treated for migraine with facial palsy. On developing nausea and vomiting, fundus examination showed papilledema and magnetic resonance imaging (MRI) with magnetic resonance venogram (MRV) revealed cortical venous thrombosis. Blood investigations revealed microcytic hypochromic anemia. She recovered completely by 6 months after anticoagulant therapy, hematinics, and anti-edema medications. This rare presentation of facial palsy in CVT highlights the need for early fundus examination and imaging with MRV to prevent morbidity and mortality.

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