Incidence and pattern of headache in cerebral venous thrombosis.

نویسنده

  • Krishnamurthy Ravishankar
چکیده

Cerebral venous thrombosis (CVT) is a challenging condition because of the variability of clinical presentations. CVT can present at all ages, but is seen more in young and middle-aged women. CVT does not necessarily occur only when there is an obvious underlying etiology. In almost 30% of cases, the etiology cannot be established. CVT can present with an acute thunderclap headache, fever, seizures, focal deficits, impaired sensorium, or papilloedema. Headache is known to be the most frequently associated initial complaint, and is present in more than 80% of patients, but it is not always remembered that headache can be the sole presenting complaint of CVT and even when early papilloedema is absent. Headache can occur in isolation in up to 5% of CVT cases. There is no identifiable, uniform, recognizable pattern of headache in CVT, but this article discusses the "Headache Profile" that is seen more commonly in this setting with an illustration of one such case where the innocuous headache turned sinister. Magnetic resonance imaging with venography is the investigation of choice to diagnose CVT; computed tomography alone will miss a significant number of cases. One must keep in mind the possibility of CVT in every patient who presents with new-onset headache of any type, any severity, and in any location, particularly when there is worsening in spite of analgesics. Earlier the diagnosis, earlier the treatment, better is the outcome.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

ترومبوز سینوس مغزی در بالغین: مطالعه 50 بیمار

The study was conducted to determine the clinical pattern and etiology of cerebral venous thrombosis in Iran. Records of all adult patients admitted with a clinical diagnosis and MRI of cerebral venous thrombosis from 1993 through 1999 in three major hospitals of Tehran, Iran were reviewed. Fifty patients (39 women, 11 men) aged 14 to 56 years were identified. Headache the most frequent and oft...

متن کامل

Spontaneous Intracranial Hypotension Plus Cerebral Venous Thrombosis: A Case Report Study

This is a case study of a 34-year-old woman who was admitted to hospital with a history of severe orthostatic headache. She was diagnosed as having spontaneous intracranial hypotension (SIH) by undetectable cerebrospinal fluid (CSF) pressure at lumbar puncture, and with evidence of diffuse dural enhancement of the brain detected by magnetic resonance imaging (MRI). However, the contrast-enhance...

متن کامل

Cerebral Venous Sinus Thrombosis Masquerading as High Altitude Cerebral Edema at Extreme Altitude

Introduction: Extreme altitude travel has gained popularity globally for adventurous, scientific, and military endeavors. Cerebral venous sinus thrombosis (CVST) at extreme altitude is a rare, covert, and emergent condition requiring immediate intervention. Case Presentation: A case of CVST masqueraded as high altitude cerebral edema (HACE) at 6700 m/22000 ft i...

متن کامل

Evaluation of cerebral venous thrombosis risk following oral contraceptive use: A case report and update.

Background and Objectives: The aim of the present study was to report a case of cerebral venous thrombosis (CVT) folowing consumption of the oral contraceptive pills with high estrogen levels. Case Report: A 35-year-old woman presenting a headache was diagnosed with thrombosis in the upper sagittal, sigmoid and transverse  veins, by CT SCAN, MRI and MRV of the brain. Conclusion: The chance ...

متن کامل

A case report of nephrotic syndrome with hemorrhage of intracerebral in cerebral venous thrombosis

Introduction: cerebral vein thrombosis is a rare complication of nephrotic syndrome (NS).We report a known case of NS with hemorrhagic thrombosis. Case report: A boy with previous history of NS was admitted with headache and decrease of level of consciousness and his brain images were revealed hemorrhagic thrombosis Conclusions: cerebral vein thrombosis must be considered in patients with...

متن کامل

Cerebral Venous-Sinus Thrombosis: A Case Series Analysis

Background: Cerebral venous-sinus thrombosis is an uncommon form but important cause of stroke, especially in young-aged women. Methods: We performed a retrospective descriptive-analytical study in which 124 patients with cerebral venous-sinus thrombosis, who referred to Nemazee Hospital, Shiraz University of Medical Sciences from January 2000 to March 2008, were included, and their dem...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • JPMA. The Journal of the Pakistan Medical Association

دوره 56 11  شماره 

صفحات  -

تاریخ انتشار 2006