PMC9912360_01
Nine cardinal gaze pictures (A) and Hess chart (B).. A: Nine cardinal gaze pictures showing subtle limitations of abduction bilaterally; B: Hess chart showing limitation of abduction bilaterally.
cureus-0015-00000033637-i01.jpg
PMC9912360_01_cureus-0015-00000033637-i01.jpg
FIG1
He had subtle limitations of abduction bilaterally, as shown in Figures 1A-1B, and he had diplopia on the right and left gaze.
Fundus photos of both eyes.. (A) Right eye showing swollen and hyperemic optic disc with disc hemorrhages. (B) Left eye showing swollen and hyperemic optic disc.
cureus-0015-00000033637-i02.jpg
PMC9912360_01_cureus-0015-00000033637-i02.jpg
FIG2
Fundoscopy showed the right swollen and hyperemic optic disc with disc hemorrhages; the left eye optic disc was swollen and hyperemic (Figure 2).
Computed tomography venogram of the brain.. Computerized tomography venogram of the brain showing extensive thrombosis as filling defect in the superior sagittal sinus (A, C) (red arrows) with extension to straight sinus (B) (yellow arrow), and bilateral transverse sinuses (C) (pink arrows).
cureus-0015-00000033637-i03.jpg
PMC9912360_01_cureus-0015-00000033637-i03.jpg
FIG3
A computed tomography venogram (CTV) of the brain revealed a loss of normal signal void with filling defects in the superior sagittal sinus, straight sinus, bilateral transverse sinuses, bilateral sigmoid sinuses, and bilateral internal jugular veins, with no intracerebral hemorrhage (Figure 3). 30-2 Humphrey's visual field showed enlarged blind spots in both eyes.