Dr.Chahveer Singh Bindra, B17172
Cerebral venous sinus thrombosis (CVST) is associated with a wide variety of clinical signs and symptoms, which may often delay appropriate diagnosis. With greater degrees of sinus thrombosis, the patient may develop signs of increased intracranial pressure. Clinically patients present with variable symptoms ranging from headache to seizure with multiple cranial nerve involvement and coma in severe cases. This case series of 7 patients, 3 female and 4 male, with age group ranging from 12 to 75 years, presented with varied ocular and systemic findings and were found to have cerebral venous sinus thrombosis on neuroimaging. In systemic involvement, patients presented with history of fever, diarrhoea, vomiting, neck stiffness, headache and hearing loss while in ocular involvement, patients presented with symptoms including diplopia, diminution of vision or signs of papilloedema. MR Venogram was found to be the most sensitive neuroimaging modality for diagnosis.