Anaemia with neuro ophthalmic symptoms as a manifestation of cerebral venous thrombosis

Aim: To study the ocular manifestations in cerebral venous thrombosis. Materials and Methods: We report a case of a 25-year- old married woman who presented to medical emergency with frank per rectal bleeding and later after two days complained of blurring of vision in both eyes and binocular diplopia. On probing the patient, she also gave history of on and off headache since 6 months. Results: MRI Brain with Venogram was suggestive of intracranial hypertension and non-occlusive thrombus in bilateral transverse and sigmoid sinuses. Conclusion: CVT should be kept in mind in any patient with acute onset of diplopia with papilledema or cranial nerve involvement. Acute blood loss with severe anaemia can precipitate CVT. Imaging modalities like MRI with venogram should be the investigation of choice in all cases of CVT. Keywords: Cerebral venous thrombosis, Diplopia, Papilloedema, Transverse sinus, Sigmoid sinus and intracranial hypertension.