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Journal of Pediatric Neurology 2011; 09(04): 501-504
DOI: 10.3233/JPN-2012-0512
Georg Thieme Verlag KG Stuttgart – New York

An unusual case of bilateral reversible blindness in a child: Crucial role of imaging

Seema Rohilla
a   Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Sciences, Pt. B.D. Sharma University of Health Sciences, Rohtak, India
,
Rohtas K. Yadav
a   Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Sciences, Pt. B.D. Sharma University of Health Sciences, Rohtak, India
,
Manoj Rawal
b   Department of Pediatrics, Post Graduate Institute of Medical Sciences, Pt. B.D. Sharma University of Health Sciences, Rohtak, India
,
Kunal Das
b   Department of Pediatrics, Post Graduate Institute of Medical Sciences, Pt. B.D. Sharma University of Health Sciences, Rohtak, India
,
Dhara B. Dhaulakhandi
c   Department of Biotechnology and Molecular Medicine, Post Graduate Institute of Medical Sciences, Pt. B.D. Sharma University of Health Sciences, Rohtak, India
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Publication History

19 September 2009

03 January 2011

Publication Date:
30 July 2015 (online)

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Abstract

Sphenoid sinusitis is an unusual cause of blindness and may go undetected if the sinusitis is otherwise asymptomatic. Radiological studies can play a very crucial role in the diagnosis of such cases. Here we present one such case where radiologic diagnosis was critical to determining the treatment plan. A 12-year-boy developed sudden blindness and right sided hemiparesis one week after the episode of fever. Imaging studies attributed his symptoms to acute sphenoiditis and thrombus in cerebral veins. Early institution of proper medical treatment based on correct radiological diagnosis led to reversal of his symptoms within two days.

Keywords

Acute sphenoiditis - reversible visual loss - cerebral venous thrombosis