Delayed Cerebral Venous Thrombosis in a Patient With Spontaneous Intracranial Hypotension

My, Lan; Yy, Chang; Js, Liu

doi:10.1111/j.1468-2982.2007.01416.x

Cited by 18 publications

(18 citation statements)

References 4 publications

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“…16 Conversely, a French study of 62 adults with isolated lateral sinus thrombosis found that only 3 cases were related to parameningeal infections. 42 Other conditions have been associated with CVT in case reports or small series, including paroxysmal nocturnal hemoglobinuria, 48 iron deficiency anemia, 49 thrombocythemia, 50 heparin-induced thrombocytopenia, 61 thrombotic thrombocytopenic purpura, 14 nephrotic syndrome, 51 inflammatory bowel disease, 10,62 systemic lupus erythematosus, 52 Behçcet disease, 53 mechanical precipitants, epidural blood patch, 45 spontaneous intracranial hypotension, 46 and lumbar puncture. 47 …”

Section: Other Uncommon Causesmentioning

confidence: 99%

Diagnosis and Management of Cerebral Venous Thrombosis

Saposnik¹,

Barinagarrementería²,

Brown³

et al. 2011

Stroke

1,697

1,229

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Background— The purpose of this statement is to provide an overview of cerebral venous sinus thrombosis and to provide recommendations for its diagnosis, management, and treatment. The intended audience is physicians and other healthcare providers who are responsible for the diagnosis and management of patients with cerebral venous sinus thrombosis. Methods and Results— Members of the panel were appointed by the American Heart Association Stroke Council's Scientific Statement Oversight Committee and represent different areas of expertise. The panel reviewed the relevant literature with an emphasis on reports published since 1966 and used the American Heart Association levels-of-evidence grading algorithm to rate the evidence and to make recommendations. After approval of the statement by the panel, it underwent peer review and approval by the American Heart Association Science Advisory and Coordinating Committee. Conclusions— Evidence-based recommendations are provided for the diagnosis, management, and prevention of recurrence of cerebral venous thrombosis. Recommendations on the evaluation and management of cerebral venous thrombosis during pregnancy and in the pediatric population are provided. Considerations for the management of clinical complications (seizures, hydrocephalus, intracranial hypertension, and neurological deterioration) are also summarized. An algorithm for diagnosis and management of patients with cerebral venous sinus thrombosis is described.

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Section: Other Uncommon Causesmentioning

confidence: 99%

Diagnosis and Management of Cerebral Venous Thrombosis

Saposnik¹,

Barinagarrementería²,

Brown³

et al. 2011

Stroke

1,697

1,229

View full text Add to dashboard Cite

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“…It well established that both CVST and SDH can arise as a secondary complication of intracranial hypotension. [681215222324252930]…”

Section: Discussionmentioning

confidence: 99%

“…It is well known that intracranial hypotension can cause SDH due to sagging brain structures and venous engorgement. [681215222324252930] The secondary cerebral venous engorgement due to the low ICP [22] and associated stasis [30] can lead to secondary CVST. Orthostatic headaches should increase concern for intracranial hypotension.…”

Section: Discussionmentioning

confidence: 99%

“…The pattern of headache will change to a more constant pattern when secondary complications of intracranial hypotension arise such as SDH and at times CVST. [812] Clinicians should also seek out information that would increase suspicion for intracranial hypotension such as recent lumbar punctures, lumbar drains, spine surgery, trauma, and epidural anesthesia. Our three patients had neither a clinical history nor radiographic findings concerning for intracranial hypotension.…”

Section: Discussionmentioning

confidence: 99%

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Cerebral venous sinus thrombosis complicated by subdural hematomas: Case series and literature review

Akins

Axelrod²,

Ji³

et al. 2013

Surg Neurol Int

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Background:Cerebral venous sinus thrombosis (CVST) can cause elevated intracranial pressure, hemorrhagic venous infarct, and cortical subarachnoid hemorrhage. We present a case series and literature review to illustrate that CVST can also present with subdural hematoma (SDH).Case Description:Chart review was completed on a retrospective case series of CVST with spontaneous SDH. We also conducted a literature search. Over a 6 year interval, three patients with CVST and SDH were admitted to the neurointensive care unit. A 38-year-old woman had both SDH and a hemorrhagic venous infarct associated with a transverse sinus thrombosis. She was managed conservatively with long-term anticoagulation. A 68-year-old woman presented with an acute SDH requiring craniotomy and a thrombosed cortical vein was noted intraoperatively. Computed tomography venography showed thrombosis of the superior sagittal sinus. She had polycythemia vera with the V617 Jak2 gene mutation and was managed with aspirin and hydroxyurea. A 60-year-old male had recurrence of a spontaneous convexity SDH requiring reoperation. Neuroimaging identified ipsilateral transverse sinus thrombosis with retrograde flow into the opposite sinus. Manometry demonstrated elevated venous pressures and these normalized after thrombectomy. Angiography performed after endovascular treatment demonstrated a normal venous drainage pattern. There have been limited reports of SDH complicating CVST in the literature.Conclusion:This case series and literature review demonstrates that CVST can also present with spontaneous SDH with or without associated venous infarctions. Treatment must be individualized. This is the first published description of endovascular thrombectomy for recurrent symptomatic SDH due to CVST.

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“…However, anticoagulation treatment had yielded full improvement in the following course. In the literature, there is considerable evidence supporting the occurrence of CVT as a consequence of ICH (2,3,4,5); hence, treatment of solely ICH, as the inducer agent, was generally recommended (6). In a retrospective review by Schievink and Maya (2), ICH was indicated as a risk factor for CVT; however, there was no evidence for CVT preceeding ICH in any patient.…”

mentioning

confidence: 99%

Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: Letter to the Article Entitled “A Rare Case”

Önder¹

2017

tnd

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Delayed Cerebral Venous Thrombosis in a Patient With Spontaneous Intracranial Hypotension

Cited by 18 publications

References 4 publications

Diagnosis and Management of Cerebral Venous Thrombosis

Diagnosis and Management of Cerebral Venous Thrombosis

Cerebral venous sinus thrombosis complicated by subdural hematomas: Case series and literature review

Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: Letter to the Article Entitled “A Rare Case”

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