Professional paper

Cerebral venous and sinus thrombosis in adult patient - case report

Borislav Vuković orcid.org/0000-0001-8538-0054 ; General County Hospital Požega, Department of Neurology
Ivana Vuković ; Clinical Hospital centre Rijeka, department of Pediatrics
Dobrinka Petković ; General County Hospital Požega, Department of Infectious diseases
Tea Miklaušić Šimleša ; General County Hospital Požega, Department of Neurology
Ivan Čubela ; General County Hospital Požega, department of Radiology

Abstract

Cerebral venous and sinus thrombosis (CVST) is a rare type of cerebrovascular disease which accounts for <1% of all strokes. It can occur at any age and is characterized by thrombus within the cerebral venous and sinus system. The paper reviews the case of a 73-year-old woman hospitalized after the onset of severe headache, dizziness, nausea, vomiting and right-sided hemiparesis 4/5 degree. The suggestive signs of cerebral venous and sinus thrombosis (CVST) were hyperdense signal and empty delta sign on computed tomography (CT) image and the combination of the absence of a flow void with alternation of signal intensity in the dural sinus on magnetic resonance imaging (MRI). Except for the elevated D-dimer values, other laboratory findings were within reference range. Genetic disorders, acquired coagulation disorders and malignancies were excluded. The patient was treated with body weight-adjusted subcutaneous low-molecular-weight heparin (LMWH) with a good clinal response – dissapearance of signs and symptoms and the absence of complications. She took oral anticoagulant therapy after the acute phase of the disease.

Keywords

cerebral venous sinus thrombosis; headache; computed tomography; magnetic resonance imaging; anticoagulants

Hrčak ID:

198051

URI

https://hrcak.srce.hr/198051

Publication date:

27.3.2018.

Article data in other languages: croatian

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