Papilledema with Lateral Rectus Palsy in a Young Patient with Polycythemia Vera: A Case Report
Published: 2024-10-17
Page: 144-147
Issue: 2024 - Volume 7 [Issue 1]
Swatika Gupta *
Department of Ophthalmology, Vinayaka Missions Medical College Karaikal, VMRF, India.
K. Kalaivani
Department of Ophthalmology, Vinayaka Missions Medical College Karaikal, VMRF, India.
V. Danalakshmi
Department of Ophthalmology, Vinayaka Missions Medical College Karaikal, VMRF, India.
*Author to whom correspondence should be addressed.
Abstract
A 27-year-old man with persistent headache, nausea and double vision for two weeks was found to have right lateral rectus palsy and Grade 4 Papilledema. Further, blood investigations showed Polycythemia Vera and imaging confirmed cerebral venous thrombosis. Patient was managed conservatively and followed up till edema and diplopia subsided. This case underscores the critical need for early recognition and comprehensive management of neurological symptoms, particularly in the presence of underlying hematological disorders such as Polycythemia Vera. A multidisciplinary approach, involving hematological and neurological expertise, is essential to address both the immediate and systemic complications effectively.
Keywords: Papilledema, lateral rectus palsy, polycythemia vera, cerebral venous thrombosis