Smoldering multiple myeloma revealed by superior ophthalmic vein thrombosis

Superior ophthalmic vein thrombosis is a rare entity. It is associated with significant morbidities. It may present with dramatic clinical signs. It is frequently secondary to cavernous sinus pathology and it can be a harbinger of cavernous sinus thrombosis. We report an unusual case of superior oph...

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Published inSaudi journal of ophthalmology Vol. 34; no. 1; pp. 62 - 65
Main Authors Bouattour, Nadia, Farhat, Nouha, Hamza, Nouha, Hadjkacem, Hanen, Hdiji, Olfa, Sakka, Salma, Dammak, Mariem, Mhiri, Chokri
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer India Pvt. Ltd 01.01.2020
Wolters Kluwer - Medknow
Subjects
Case Report
proptosis
multiple myeloma
superior ophthalmic vein
ophthalmoplegia
Hyperviscosity syndrome
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ISSN1319-4534
2542-6680
DOI10.4103/1319-4534.301163

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Summary:Superior ophthalmic vein thrombosis is a rare entity. It is associated with significant morbidities. It may present with dramatic clinical signs. It is frequently secondary to cavernous sinus pathology and it can be a harbinger of cavernous sinus thrombosis. We report an unusual case of superior ophthalmic vein thrombosis, as the first manifestation of multiple myeloma. As far as we know, this is the first case described in the literature. Here we describe a patient presented with a painful, visual blur and a right-sided proptosis due to superior ophthalmic vein thrombosis. Appropriate medical workup was conducted, and smoldering multiple myeloma was diagnosed as the underlying cause. We further discuss the possible involved mechanisms.
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ISSN:1319-4534
2542-6680
DOI:10.4103/1319-4534.301163