A Patient with Deep Cerebral Venous Sinus Thrombosis in whom Neuroendovascular Therapy was Effective

Deguchi, Ichiro; Dembo, Tomohisa; Kato, Yukio; Yamane, Fumitaka; Ishihara, Shoichiro; Tanahashi, Norio

doi:10.1016/j.jstrokecerebrovasdis.2011.11.007

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…Seriously impaired consciousness, mean intracranial circulation time, thrombosis of the deep cerebral venous system, central nervous system infection, dyscrasia, and age contribute to the refractoriness of thrombosis to anticoagulation and poor outcome. 37 The development of cerebral venous congestion which appears to be a severe or worsening clinical symptom, and/or intracranial hemorrhage, hematoma, or edema on CT or MRI may be an indication of thrombectomy or thrombolytic therapy. 38 Endovascular interventional treatment, including pharmacological and mechanical thrombolysis, should be advocated for the CVST patients with malignant progression despite anticoagulant therapy.…”

Section: Article In Pressmentioning

confidence: 99%

Nephrotic Syndrome May Be One of the Important Etiologies of Cerebral Venous Sinus Thrombosis

Wang

Duan

et al. 2016

Journal of Stroke and Cerebrovascular Diseases

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Section: Article In Pressmentioning

confidence: 99%

Nephrotic Syndrome May Be One of the Important Etiologies of Cerebral Venous Sinus Thrombosis

Wang

Duan

et al. 2016

Journal of Stroke and Cerebrovascular Diseases

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A neurologist's approach to delirium: Diagnosis and management of toxic metabolic encephalopathies

Krishnan

Leung

Caplan

2014

European Journal of Internal Medicine

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Cerebral Venous Thrombosis in Pregnancy-A Poignant Allegory of an Unusual Case

Marwah

Shailesh

Gupta

et al. 2016

JCDR

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A 22-old-year P1L1 postpartum day seven was brought to gynaecology emergency with complaints of multiple episodes of seizures since, one day. She also had a continuously aggravating postural headache, predominantly located in the neck and both eyes. However, there was no history of fever. She had a full term vaginal delivery by a midwife (dai) at home seven days back, without any complications. There was no history of high blood pressure during pregnancy.On examination at admission, she was conscious but drowsy with a Glasgow Coma Scale of E4V2M6. She was normotensive, afebrile, respiratory rate of 18/min, pulse rate 100/minute good volume. There was no albuminuria. Chest and cardiovascular system were essentially normal. On abdominal examination, uterus was wellinvoluted; local examination showed healthy lochia.She was admitted in high dependency unit of the department and put on continuous maternal surveillance. She was administered loading dose of intravenous phenytoin followed by maintenance dose. All relevant blood investigations were sent. Intensive care and neurological referrals were taken and further examination showed no neurological deficit. Ultrasound whole abdomen revealed normal postpartum uterus with no pelvic collection. Her blood pressure remained normal throughout. Laboratory examination showed a normal complete blood count with haemoglobin 9.8mg/dl and normal renal, hepatic, and coagulation profiles. High vaginal swab showed infection with Escherichia coli and her antibiotics were changed as per sensitivity report. But she again convulsed, and hence, was put on injectable lorazepam 0.4mg as and when required. Fundal examination showed normal disc and non-contrast computed tomography scan of head showed white matter oedema in left frontal lobe [ Cerebral Venous Thrombosis (CVT), also known as cortical venous, cerebral sinus, cerebral venous sinus, or dural sinus thrombosis, is an infrequent grave condition affecting pregnant females, resulting from clot formation in one of the many outflow tracts of the brain. Although pregnancy-associated stroke or CVT is uncommon, the risk of stroke is greatly increased above the low baseline rate in young patients during late pregnancy and, even more so, during the puerperium. Haemorrhagic infarction can occur in the acute stage of CVT. The article reports a case of CVT in puerperium in woman without any risk factors for thrombosis, highlighting the difficulties encountered in differentiating this rare cause from common diagnoses such as eclampsia. Also, clinical considerations and relevant literature review on prognostic factors affecting outcome have been addressed. CVT is an uncommon serious neurologic disorder in young gravidas requiring prudent assessment of the potential differential diagnoses and prompt management.times of control value. Also, Colour Doppler of bilateral lower limbs was performed that revealed right sided deep vein thrombosis at distal femoral vein and popliteal veins, with recanalization of veins and thrombosis in great saphenous vei...

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A Patient with Deep Cerebral Venous Sinus Thrombosis in whom Neuroendovascular Therapy was Effective

Cited by 3 publications

References 12 publications

Nephrotic Syndrome May Be One of the Important Etiologies of Cerebral Venous Sinus Thrombosis

Nephrotic Syndrome May Be One of the Important Etiologies of Cerebral Venous Sinus Thrombosis

A neurologist's approach to delirium: Diagnosis and management of toxic metabolic encephalopathies

Cerebral Venous Thrombosis in Pregnancy-A Poignant Allegory of an Unusual Case

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