Spontaneous Intracranial Hypotension Plus Cerebral Venous Thrombosis: A Case Report Study
Publish place: Caspian Journal of Neurological Sciences، Vol: 3، Issue: 10
Publish Year: 1396
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_CJNS-3-10_007
تاریخ نمایه سازی: 18 اسفند 1397
Abstract:
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-enhanced MRI of the spinal cord did not show a CSF leak site and she was treated conservatively. After a few days, the patient’s recurrence of headache with continuous duration and progressive worsening led to further investigations by contrast-enhanced MRI, magnetic resonance venography (MRV) and computed tomography venography (CTV) that showed an extensive thrombosis in the superior sagittal sinus, left sigmoid sinus and both transverse sinuses. Then, the patient was treated successfully with heparin and oral anticoagulant. She had no neurological deficit after six months. SIH with concomitant intracranial cerebral venous thrombosis is a rare condition. We hypothesize that SIH may change cerebral blood-flow velocity and viscosity and can cause intracranial cerebral venous thrombosis.
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Authors
Nahid Ashjazadeh
MD, Shiraz Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, Iran- Department of Neurology, Shiraz University of Medical Sciences, Shiraz, Iran
Nasrin Jalali
MSc, Clinical Neurology Research Center, Department of Neurology, Shiraz University of Medical Sciences, Shiraz, Iran