Guney, F.; Gumus, H.; Emlik, D.; Kaya, A.
April 2011
Acta Endocrinologica (1841-0987);Apr-Jun2011, Vol. 7 Issue 2, p283
Academic Journal
Background. Cerebral vein and sinus thrombosis (CVT) is less encountered, compared to arterial stroke. Commonly witnessed symptoms are headache, nausea, vomiting, confusion, aphasia, seizures, cranial nerve dysfunction and motor or sensorial deficits. The diagnosis is accurately determined by the help of MRI and MR venography. Multiple risk factors associated with CVT are present. Venous thrombosis tends to occur when there is an imbalance between prothrombotic and thrombolytic processes. Case report. In this report, a patient with CVT extending from left transverse and sigmoid sinuses to jugular vein and diagnosed with diabetes mellitus (DM) during this period was discussed in light of literature. The 55-year-old man was evaluated in the neurology clinic with the complaints of headache, nausea, vomiting and blurred speech. On neurologic examination, he was diagnosed with sensorial aphasia and consequently, with DM over the hospital stay. On the cranial MR venography, CVT thrombosis was detected, extending from transverse and sigmoid sinuses to internal jugular vein. Decreased level of protein C and shortage of aPTT were found. Anticoagulant treatment was carried out. All complaints were improved. Conclusion. In our subject, the existence of decreased protein C and shortage of APTT, along with DM, is a situation to increase hypercoagulability and the risk of cerebral vein and sinus thrombosis.


Related Articles

  • Internal jugular vein thrombophlebitis. Isenberg, Steven F. // ENT: Ear, Nose & Throat Journal;Mar1998, Vol. 77 Issue 3, p204 

    Examines the pathogenesis of the thrombophlebitis of the internal jugular vein (IJV). Factors described in the triad of vascular thrombosis; Case studies of IJV thrombophlebitis; Discussion of the results of the studies.

  • Cerebral venous sinus thrombosis caused by spontaneous intracranial hypotension. Xuemei Qin; Xiaoming Zhang; Qingying Zhang // Neurology Asia;Sep2012, Vol. 17 Issue 3, p227 

    The association of spontaneous intracranial hypotension with cerebral venous sinus thrombosis is rare. We report here a case of extensive cerebral venous sinus thrombosis involving three sinuses following spontaneous intracranial hypotension. The patient presented no other thrombotic risk...

  • An unusual case of neuro-Behçet's disease presenting with co-occurence of cerebral venous sinus thrombosis with basilar artery occlusion. Tascilar, Nida; Akman-Demir, Gulsen; Demiryurek, Bekir; Tokgoz, Ozlem; Akgun, Nergis; Ozen Barut, Banu // Neurological Sciences;May2013, Vol. 34 Issue 5, p785 

    Non-parenchymal neuro-Behçet disease generally affects cerebral venous sinuses, whereas intracranial intracerebral arterial involvement has been rarely reported. But co-involvement of both intracranial intracerebral artery and venous vascular systems in a patient at the same time has not been...

  • Headache With Unilateral Pulsatile Tinnitus in Women Can Signal Dural Sinus Thrombosis. Sigari, Farhad; Blair, Elizabeth; Redleaf, Miriam // Annals of Otology, Rhinology & Laryngology;Sep2006, Vol. 115 Issue 9, p686 

    Objectives: Dural sinus thrombosis commonly presents with headache, and rarely with tinnitus. These thromboses can progress to neurologic impairment and death. We are sharing recent clinical experiences with these thromboses as they present to the otologist. Methods: We report the presentation,...

  • Delay in Diagnosis of Cerebral Venous and Sinus Thrombosis: Successful Use of Mechanical Thrombectomy and Thrombolysis. Shah, Christopher T.; Rizqallah, Jason J.; Oluwole, Oladoyin; Kalnins, Aleksandrs; Sheagren, John N. // Case Reports in Medicine;2011, p1 

    Cerebral venous and sinus thrombosis is a relatively rare condition with a variable presentation that can translate into a difficult workup and a delay in diagnosis and treatment. We describe the successful use of mechanical thrombectomy and thrombolysis in the case of an eighteen-year-old woman...

  • Collet-Sicard Syndrome from Thrombosis of the Sigmoid-Jugular Complex: A Case Report and Review of the Literature. Handley, Tom P. B.; Miah, Mohammed S.; Majumdar, Samit; Hussain, S. S.Musheer // International Journal of Otolaryngology;2010, p1 

    Purpose. Collet-Sicard syndrome is a very rare condition characterised by unilateral palsy of the IX-XII cranial nerves. It is distinguished fromVillaret syndrome by lack of presence of sympathetic involvement. Current literature contains only two cases of Collet-Sicard syndrome due to...

  • Sigmoid sinus thrombosis with contralateral abducens palsy: First report of a case. Marzo, Sam J. // ENT: Ear, Nose & Throat Journal;Dec2001, Vol. 80 Issue 12, p869 

    Intracranial complications of acute and chronic otitis media can be difficult to recognize because the signs and symptoms are often subtle. This article describes a case of one such complication--sigmoid sinus thrombosis--that was manifested by a contralateral abducens palsy. The author believes...

  • NATURAL HISTORY OF SIGMOID SINUS THROMBOSIS. Agarwal, Anurag; Lowry, Patricia; Isaacson, Glenn // Annals of Otology, Rhinology & Laryngology;Feb2003, Vol. 112 Issue 2, p191 

    To demonstrate the evolution of sigmoid sinus thrombosis, we performed a prospective observational study on a 6-year-old girl who presented with mastoiditis, epidural abscess, and occipital osteomyelitis from multiple drug-resistant Streptococcus pneumoniae. She underwent mastoidectomy and...

  • Headache in cerebral venous thrombosis: incidence, pattern and location in 200 consecutive patients. Wasay, Mohammad; Kojan, Suleman; Dai, Alper I.; Bobustuc, George; Sheikh, Zubair // Journal of Headache & Pain;Apr2010, Vol. 11 Issue 2, p137 

    We analyzed the incidence, pattern and location of headache in consecutive 200 patients with proven diagnosis of CVT to identify an association between localization of headache and site of sinus involvement. Headache was present in 136 (68%) patients. The duration of headache (reported in 128...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics