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Research Article Open access CC BY 4.0

Papilledema with Lateral Rectus Palsy in a Young Patient with Polycythemia Vera: A Case Report

Swatika Gupta, K. Kalaivani, V. Danalakshmi

Asian Journal of Research and Reports in Ophthalmology · pp. 144–147 · Published 17 Oct 2024

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.

Papilledema lateral rectus palsy polycythemia vera cerebral venous thrombosis

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