Cerebral venous thrombosis

Case contributed by Dr Fatima Shire

Presentation

Headache and loss of consciousness.

Patient Data

Age: 50
Gender: Male
Modality: CT

There is thrombosis in bilateral transverse sinuses extending into sigmoid sinus on right side with hemorrhagic infarcts in the right temporo-parietal lobe.

Case Discussion

The patient remained stable in the hospital on anticoagulation therapy. Thrombophilia work-up was negative except nonspecific elevation of beta 2 glycoprotein.

Although cerebral venous thrombosis can result in the uncommon venous stroke, it is an important consideration because of its potential morbidity and mortality.

Recently with advanced imaging studies, the reported incidence of cerebral venous thrombosis is likely to increase, and now more cases may be diagnosed not only by neurologist but also by emergency physicians, internists and other specialties.

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Case Information

rID: 46023
Case created: 17th Jun 2016
Last edited: 19th Jun 2016
Inclusion in quiz mode: Included

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