A 43-year-old woman, presented with headache, reduced visual acuity, for 5 days and bilateral papilledema. Non-enhanced cerebral computed tomography (CT) was normal. The venous angiography-CT revealed the empty delta sign within superior sagittal, right transverse and sigmoid sinuses, characterizing sinus thrombosis (Figure). The empty delta sign is a central intraluminal filling defect, repres...

We describe a 42-year-old woman who developed superior sagittal and left transverse sinus thrombosis associated with prolonged epsilon-aminocaproic acid therapy for menorrhagia. This antifibrinolytic agent has been used in women with menorrhagia to promote clotting and reduce blood loss. Although increased risk of thromboembolic disease has been reported during treatment with epsilon-aminocapro...

In the Department of Oral and Maxillofacial Surgery, patients with trismus can be easily identified. If the cause of trismus is infection of the masticatory space near the pterygoid plexus, the possibility of cavernous sinus thrombosis should be considered. We report the case of a patient who presented with limited mouth opening and progressed to cavernous sinus thrombosis, along with a review ...

Sigmoid sinus thrombosis is a rare complication of otitis media and is known to be unilateral. In this report, we present a case of bilateral sigmoid sinus thrombosis secondary to bilateral otitis. To the best of our knowledge, there are no bilateral-simultaneous cases reported in literature to date. Here, the diagnosis of and treatment for the disease as well as predisposing factors are discus...

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Cerebral venous sinus thrombosis (CVT) is a rare cause of stroke and the clinical presentation is variable, thus mimicking other neurologic pathologies. One of the more common acquired risk factors of venous sinus thrombosis is oral contraceptive medications such as Yaz. While the prognosis for CVT is favorable, it is important to identify and treat early to prevent neurologic deficits. We repo...

BACKGROUND We report an unusual case of acquired dural-pial arteriovenous malformation (AVM) following sinus thrombosis. CASE DESCRIPTION Initial angiography performed in a 39-year-old man showed thrombosis of the superior sagittal sinus (SSS) and the right transverse sinus (TS) but no vascular malformations. Follow-up angiography 29 months later revealed recanalization of the SSS and the TS,...

We report on two patients with cerebral sinus venous thrombosis following chemotherapy with cisplatin, bleomycin and etoposide for non-seminomatous germ cell tumor. Headache and neurological deficits were the leading symptoms. Cancer and cisplatin chemotherapy are well-known risk factors for thromboembolic events. The therapeutic strategy is an anticoagulant therapy. Symptoms are usually revers...

Background In breast-fed neonates, hypernatremia may occur from inadequate breast milk production, central or nephrogenic diabetes insipidus, gastroenteritis, or salt poisoning. Hypernatremic dehydration is a known risk factor for cerebral sinus thrombosis and death. We report a breastfed neonate with hypernatremic dehydration, diabetes insipidus, cerebral sinus thrombosis, and disseminated int...

There is increasing evidence that local thrombolysis can be used with relative safety and efficacy in adults with superior sagittal sinus thrombosis (SSST). However, little data is available on the use of local thrombolysis in children with SSST. We report three patients who received local thrombolysis for dural sinus thrombosis. Two patients received urokinase and one patient received urokinas...