Two cases of cerebral venous sinus thrombosis due to intracranial hypotension after epidural anesthesia as a diagnostic challenge

Coronavirus disease 2019 (COVID-19) is an infectious respiratory disease that is often the trigger for thrombotic complications. Cerebral venous sinus thrombosis (CVST) represents a small percentage of strokes, frequently proving to be a diagnostic challenge. We report a 31-year-old lady presenting with a persistent headache, 18 weeks after a mild COVID-19 illness. On her second visit, CT venography revealed extensive CVST. She was commenced on low-molecular-weight heparin, and was monitored closely in the neuro-medical intensive care unit. She was discharged 2 weeks later, with no residual neurological deficit, and commenced on a direct oral anticoagulant in the community. CVST should be considered in patients presenting with a refractory headache, with greater suspicion if previously infected with SARS-CoV-2.

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Cerebral Venous Sinus Thrombosis with an Intracranial Haemorrhage: A Case Report

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.229 ◽

2019 ◽

Vol 7 (6) ◽

pp. 1029-1031 ◽

Cited By ~ 1

Author(s):

Abdullah M. Al Zahrani ◽

Reem Al Sheikh

Keyword(s):

Sinus Thrombosis ◽

Signs And Symptoms ◽

Cerebral Venous Sinus Thrombosis ◽

Pregnant Female ◽

Venous Sinus ◽

Diagnostic Challenge ◽

Venous Sinus Thrombosis ◽

Sagittal Sinus ◽

Life Threatening ◽

Acute Headache

BACKGROUND: Cerebral venous sinus thrombosis (CVST) is a rare, life-threatening disorder. It has an annual incidence of approximately two to four per million people per year. Nearly 70–80% of all cases of CVST are located in the superior sagittal sinus (SSS). CVST presents a diagnostic challenge due to different presentations. CASE PRESENTATION: We describe the case of a young pregnant female who presented to the emergency room with an acute headache attributed to multifactorial causes. CONCLUSION: This report highlights the importance of including CVST in the differential diagnosis when treating a pregnant female with headaches. Although the symptoms of CVST are varied, the most common occlusion is in the SSS. In such cases, the patient may present with signs and symptoms that include headaches, intracranial hypertension and papilloedemas.

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Cerebral venous sinus thrombosis: A diagnostic challenge in a rare presentation

Brain Circulation ◽

10.4103/bc.bc_27_17 ◽

2017 ◽

Vol 3 (4) ◽

pp. 227 ◽

Cited By ~ 2

Author(s):

SultanAbdulWadoud Alshoabi

Keyword(s):

Sinus Thrombosis ◽

Cerebral Venous Sinus Thrombosis ◽

Venous Sinus ◽

Diagnostic Challenge ◽

Rare Presentation ◽

Venous Sinus Thrombosis

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Cerebral Venous Sinus Thrombosis: A Case Report

Bangladesh Critical Care Journal ◽

10.3329/bccj.v3i1.24105 ◽

2015 ◽

Vol 3 (1) ◽

pp. 39-41

Author(s):

Debasish Kumar Saha ◽

ASM Areef Ahsan ◽

Mohammad Omar Faruq ◽

Kaniz Fatema ◽

Fatema Ahmed ◽

...

Keyword(s):

Case Report ◽

Sinus Thrombosis ◽

Cerebral Venous Sinus Thrombosis ◽

Severe Headache ◽

Predisposing Factors ◽

Venous Sinus ◽

Diagnostic Challenge ◽

Venous Sinus Thrombosis ◽

Dangerous Condition

Cerebral venous sinus thrombosis (CVST) is a rare but dangerous condition occurring with an incidence of 3-4 cases per million per year. CVST presents a diagnostic challenge due to its varied presentation pattern. Here we report a case of a 40 year old diabetic, male, presenting with sudden severe headache with quadriplegia, where two predisposing factors were found.Bangladesh Crit Care J March 2015; 3 (1): 39-41

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