Headache: cortical vein thrombosis and response to anticoagulation

Minadeo, John; Karaman, Boris A.

doi:10.1016/s0736-4679(99)00005-0

Cited by 8 publications

(6 citation statements)

References 14 publications

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“…There were 11 cases in which cerebrospinal fluid was studied; 6 cases reported nonspecific abnormalities including increased white blood cells in 3 cases 11 , 22) and increased protein in 2 cases. 11) …”

Section: Discussionmentioning

confidence: 99%

Isolated Superficial Sylvian Vein Thrombosis With Long Cord Sign: Case Report and Review of the Literature

Kitamura

Hara

Tsunematsu

2014

Neurol. Med. Chir.(Tokyo)

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Isolated cortical vein thrombosis (ICVT) is extremely rare. Only single case or small series of ICVT have been reported; clinical details are still uncertain. We report a case of isolated superficial sylvian vein thrombosis with exceedingly long cord sign. A 14-year-old female with severe sudden onset headache visited our hospital. Fluid attenuated inversion recovery and echo-planar T 2 * susceptibility-weighted imaging (T 2 *SW) showed a long cord sign on the surface of the sylvian fissure. The patency of dural sinuses and deep cerebral veins were confirmed by magnetic resonance venography (MRV), and diagnosis of ICVT was made. She recovered completely without anticoagulant agents. To clarify the clinical characteristics of ICVT, we reviewed 51 ICVT cases in the literature. In many cases, T 2 *SW was the most useful examination to diagnose ICVT. In contrast with general cerebral venous thrombosis, MRV and conventional angiography were either supporting or useless. Anastomotic cortical veins were involved frequently; symptoms of gyri around the veins were common. It also suggested that ICVTs of the silent area might have been overlooked because of nonspecific symptoms, and more patients with ICVT may exist. In cases involving patients with nonspecific symptoms, the possibility of ICVT should be considered.

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Section: Discussionmentioning

confidence: 99%

Isolated Superficial Sylvian Vein Thrombosis With Long Cord Sign: Case Report and Review of the Literature

Kitamura

Hara

Tsunematsu

2014

Neurol. Med. Chir.(Tokyo)

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“…Las manifestaciones clínicas de la TVCA dependen de la región cortical comprometida, es frecuente que el déficit neurológico focal se asocie a crisis convulsivas focales, las que pueden generalizarse e incluso evolucionar a un estado epiléptico, el que habitualmente es de tipo parcial, pudiendo ser parcial complejo o generalizado 6,[9][10][11][12] . En nuestras pacientes, se observaron signos focales característicos de la región prerrolándica izquierda asociados a crisis focales, en el primer caso con una generalización secundaria y en la segunda paciente con evolución a un estado epiléptico parcial complejo refractario a fenitoína.…”

Section: Discussionunclassified

Trombosis venosa cortical aislada: Comunicación de dos pacientes

Miranda¹,

T²,

R³

et al. 2007

Rev. méd. Chile

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Isolated cortical vein thrombosis. Report of two cases Isolated cortical vein thrombosis is an uncommon presentation of central venous thrombosis. We report two females, aged 29 and 40 years, with isolated cortical vein thrombosis. Both presented with a focal neurological deficit and focal seizures that became generalized. The diagnosis was made with magnetic resonance imaging. Both had a history of oral contraceptive use. Both had a rapid response to unfractionated heparin. One patient had an antiphospholipid syndrome as a possible etiology. The most common manifestations of this disease are a transient or recurrent neurological deficit, visual disturbances and focal or generalized seizures, usually without intracanial hypertension. Neuroimages show ischemic abnormalities that do not follow an arterial vascular territory, often with an early hemorrhagic component. There is a good clinical response to heparin (

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“…fokal defisit, nöbet ve konfüzyonel durum tablolarının birisiyle akut olarak başlamaktadır (3,6,7). Nöroradyolojik incelemeler tanı koymada yardımcıdır.…”

Section: Olgu Sunumu Case Reportunclassified

Cerebral venous thrombosis complicated by hemorrhagic infarction in pregrancy: case report

Balduz¹,

Kapan²,

Özdemir³

et al. 2011

Türk Beyin Damar Hast Derg

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Serebral sinüs trombozu (SST), sıklıkla genç ve orta yaş populasyonunda ortaya çıkan serebrovasküler hastalıklardan biridir. Gebelikte daha sık görülmektedir. SST tedavisinde düşük moleküler ağırlıklı heparinler (DMAH) kullanılabilmektedir. 24 yaşında 10 haftalık gebe kadın kliniğimize baş ağrısı ve nöbet geçirme şikâyetleri ile başvurdu. Hastaya DMAH tedavisi başlandı. Klinik takibi sırasında bilinç bulanıklığı gelişti. Bu sırada yapılan görüntülemelerinde sol transvers sinusten sigmoid sinuse yayılım gösteren trombus, sol temporalde ve sol talamusta hemorajik enfarkt tespit edildi. DMAH dozu azaltılarak devam edildi. Nöbetlerin tedavisi için lamotrigin başlandı. Hastanın kontrol görüntülemelerinde hemoraji alanlarında rezolüsyon saptandı. Düşük molekül ağırlıklı heparin tedavisi ile taburcu edildi. Bu yazıda gebelikte komplike bir serebrovasküler hastalık olgusu, literatür gözden geçirilerek sunulmuştur. Anahtar Sözcükler: Serebral venöz tromboz, gebelik, hemorajik enfarkt CEREBRAL VENOUS THROMBOSIS COMPLICATED BY HEMORRHAGIC INFARCTION IN PREGNANCY: CASE REPORT ABSTRACTCerebral sinus thrombosis (CST), often occurring in young and middle age population is one of the cerebrovascular diseases. It can become more frequent during pregnancy. Low-molecular-weight heparin (LMWH) offers the option of treatment for cerebral sinus thrombosis. A 24-year-old 10 weeks pregnant woman presented with headache and seizure. LMWH was administered initially. Consciousness developed during clinical follow-up. In the meantime MRI, hemorrhagic infarctions were detected in left temporal lobe and in left thalamus. MRA showed thrombus within the left transverse sinus extending into the sigmoid sinus. Maintenance therapy regulated with reduction of LWMH. Lamotrigine was started for the treatment of seizures. Resolution of hemorrhage was detected in the following imagings. She was discharged home to continue with Low weight molecular heparin treatment. Herein a case of complicated cerebrovasculer disease in pregnancy is presented and literature is reviewed.

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Headache: cortical vein thrombosis and response to anticoagulation

Cited by 8 publications

References 14 publications

Isolated Superficial Sylvian Vein Thrombosis With Long Cord Sign: Case Report and Review of the Literature

Isolated Superficial Sylvian Vein Thrombosis With Long Cord Sign: Case Report and Review of the Literature

Trombosis venosa cortical aislada: Comunicación de dos pacientes

Cerebral venous thrombosis complicated by hemorrhagic infarction in pregrancy: case report

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