24-year-old man with a known history of hyperhomocysteinemia presented with a 3-day history of severe frontal headache, emesis, and photophobia. Physical examination revealed a focal neurological deficit in the form of reduced left upper limb sensation. Laboratory tests were unremarkable. Unenhanced computed tomography revealed a tubular hyperdensity along the course of the right vein of Trolard (Figure [A], red arrows). The patient was recalled for a computed tomography venogram which confirmed the diagnosis of cortical vein thrombosis (Figure [B], red arrows). Treatment with anticoagulation was commenced with resultant recovery from the symptoms. Although cerebral cortical/dural venous thrombosis is uncommon, it is a serious but treatable disease that typically affects the younger stroke population. 1 The diversity of its clinical manifestations and the multitudinous nature of predisposing risk factors can lead to delays in diagnosis and commencement of treatment. Hyperhomocysteinemia has been associated with a higher risk of stroke. 2,3
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.