Successful Anticoagulation for Bilateral Central Retinal Vein Occlusions Accompanied by Cerebral Venous Thrombosis
Young Hoon Lee, MD;
Joon Young Lee, MD;
Ye Sung Kim, MD;
Dae Hyun Kim, MD;
Jei Kim, MD, PhD
Arch Neurol. 2006;63:1648-1651.
Background Concurrent development of retinal venous drainage and cerebral venous thrombosis has not been reported.
Case Description We describe a 23-year-old man with bilateral central retinal vein occlusions and cerebral venous thrombosis. Initially observed bilateral hemorrhagic retinopathy and thrombus in the right transverse sinus of the patient began to resolve after 2 weeks of low-molecular-weight heparin. Hemorrhagic retinopathy progressively improved to previous visual acuity and the right lateral sinus remained patent by maintenance of anticoagulation with warfarin.
Conclusion The present case shows effectiveness of low-molecular-weight heparin for the initial management of hemorrhagic retinopathy of central retinal vein occlusion combined with cerebral venous thrombosis.
Author Affiliations: Department of Neurology, Chungnam National University Hospital, Taejon, Korea.
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