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Bilateral Dilation of the Superior Ophthalmic Veins—Consequential or Incidental

This 81-year-old man with a history of longstanding epilepsy presented after a generalized tonic-clonic seizure. The patient was asymptomatic prior to the event, and his family reported that the semiology was typical of past seizures. He was treated with benzodiazepines by emergency services and required intubation for airway protection. On initial neurological examination, he was comatose with intact brainstem reflexes and symmetrical, spontaneous limb movement. Computed tomography (CT) of the head showed bilateral, symmetrical superior ophthalmic vein (SOV) dilation, with a maximal