Cerebral venous thrombosis: diagnosis dilemma

Abstract

Cerebral venous thrombosis is increasing common disease in daily practice with sharing clinical nonspecific symptoms. This disorder is potentially lethal but treatable, oftenly it was overlooked in both clinical and radiologic in routine practice. Whenever, clinical suspected, prompt investigation by noninvasive imaging Magnetic resonance (MR) or advanced modilities such as cerebral venous thrombosis (CVT), MRV (MR Venography) will helpful in prompt diagnosis and treatment. These imaging modalities may reveal either direct sign (visualization of intraluminal clot) and indirect signs (paranchymatous change, intracranial hemorrhage). By using of effective treatment will improve the prognosis of the patient. This review summarizes insights into etiology, incidence, imaging modalities and current of the treatment.

A Case of Post-traumatic Cerebral Venous Sinus Thrombosis

“…Most patients with CVST present with symptoms of elevated intracranial pressure. Clinical manifestations of CVST are often nonspecific, making it difficult to diagnose the condition definitely especially in uncommon backgrounds [4]. There are several predisposing factors for CVST but the most common ones include hereditary thrombophilia, pregnancy and puerperium, post-operative state and use of OCP.…”

In the thick of it: cerebral venous sinus thrombosis precipitated by iron-deficiency anaemia and sickle cell trait

“…The incidence is 3–4 cases per million individuals with an 8% mortality rate 2. CVST is predisposed to by prothrombotic disorders, anaemia and is associated with a number of clinical conditions 1 2.…”

“…The incidence is 3–4 cases per million individuals with an 8% mortality rate 2. CVST is predisposed to by prothrombotic disorders, anaemia and is associated with a number of clinical conditions 1 2. Sickle cell disease contributes to a hypercoagulable state by distortion of the phospholipid membrane of red blood cells and inappropriate activation of tissue factors on endothelial cells 3…”

“…Cerebral venous sinus thrombosis (CVST) is a rare entity which usually presents subacutely over several days or weeks 1 2. Patients present with wide-ranging symptoms, commonly headache, neurologic deficit, altered consciousness and seizures reflecting the underlying brain damage and raised intracranial pressure due to venous thrombosis 1 2…”

Clinicopathological Conference Report—PM 25381 Postpartum Prothrombotic State with Multiple Brain Infarcts Mimicking Tuberculous Meningitis with Vasculitis

“…Cerebral venous thrombosis is increasingly common disease and it can prHVHQW ZLWK PDQ\ QRQVSHFL¿F symptoms and signs, including headache, raised intracranial WHQVLRQ DQG IRFDO QHXURORJLFDO GH¿FLWV %XW DOO WKHVH ODFN VSHFL¿FLW\ DQG ORFDOL]DWLRQ FRPSOLFDWLQJ WKH GLDJQRVWLF dilemma. 9 This diagnostic difficulty can be further compounded by the fact that different other conditions also potentiate formation of venous and or arterial thrombosis. Even tuberculosis can cause venous thrombosis and complicate the scenario.…”