RESUMEN

Trochleitis is defined as the inflammation of the trochlea and peri-trochlear region, in particular the sheath of the superior oblique muscle; being bilateral is an extremely rare event. We think that is important to bear in mind for physicians as a remote possibility in ruling out causes of headache.

Asunto(s)

Cefalea/etiología , Miositis/complicaciones , Músculos Oculomotores , Femenino , Humanos , Músculos Oculomotores/patología , Enfermedades Orbitales/complicaciones , Tomografía Computarizada por Rayos X/métodos , Adulto Joven

RESUMEN

We report on a patient with nephrotic syndrome who developed superior sagittal sinus thrombosis. He presented with double vision due to bilateral sixth-nerve palsy and papilledema. The thrombosis resolved with intravenous heparin and oral corticosteroids. A month later there were no signs of ocular movement paresis, and both optic nerves were normal.

Asunto(s)

Enfermedades del Nervio Abducens/patología , Síndrome Nefrótico/patología , Trombosis del Seno Sagital/patología , Enfermedades del Nervio Abducens/tratamiento farmacológico , Corticoesteroides/uso terapéutico , Encéfalo/patología , Niño , Diplopía/etiología , Heparina/uso terapéutico , Humanos , Imagen por Resonancia Magnética , Masculino , Síndrome Nefrótico/tratamiento farmacológico , Papiledema/patología , Resultado del Tratamiento