Neurol Case Rep | Volume 7, Issue 1 | Case Report | Open Access
Pirahanchi Y*, Frei D, Atchie B and Kaminsky I
UCSD Medical Center Hillcrest, USA
*Correspondance to: Pirahanchi Y
Fulltext PDFVenous Sinus Thrombosis (VST) presents diagnostic and management challenges due to its rarity and varied clinical manifestations, with only 0.5% to 2% of all cerebral strokes having the underlying etiology of VST. This case report details an 80-year-old female with sudden onset headache, lethargy, and unresponsiveness, ultimately diagnosed with Deep Venous Sinus Thrombosis (DVST) involving the right sigmoid sinus and superior sagittal sinus. Successful thrombectomy was performed, followed by Intensive Care Unit (ICU) monitoring and transition from heparin to Dabigatran. Post procedure, she experienced a new-onset seizure with right-sided weakness. CT perfusion imaging suggested ischemic etiology due to venous thrombosis, and CT venography identified a venous infarct in the left frontoparietal region. MRV showed recanalization of the affected sinuses, with persistent thrombus in the left cortical vein. Treatment included enoxaparin, levetiracetam, and blood pressure control, transitioning to oral anticoagulants. This case underscores the complexities of DVST, emphasizing the importance of timely intervention, comprehensive neuroimaging, and individualized treatment strategies. Further research is essential to refine diagnostic algorithms and therapeutic interventions for this uncommon cerebrovascular condition.
Pirahanchi Y, Frei D, Atchie B, Kaminsky I. Atypical Presentation of Venous Sinus Thrombosis with Seizure and Frontal Infarct. Neurol Case Rep. 2024; 7(1): 1047..