Driving Is a Headache

2016 ◽  
Author(s):  
Ji Y. Chong ◽  
Michael P. Lerario
Keyword(s):  
Magnetic Resonance ◽  
Venous Thrombosis ◽  
Sinus Thrombosis ◽  
Magnetic Resonance Venography ◽  
Venous Sinus ◽  
Prothrombotic State ◽  
Venous Sinus Thrombosis ◽  
Stroke Diagnosis ◽  
Dural Venous Sinus ◽  
Dural Venous Sinus Thrombosis

Headache and hemorrhagic infarcts in patients who are hypercoagulable (including pregnancy and puerperium) should prompt an evaluation for dural venous sinus thrombosis. Intracranial venous thrombosis is a rare cause of stroke. Diagnosis is made with venous imaging such as magnetic resonance venography. Investigation for underlying prothrombotic state is needed. Treatment is typically with anticoagulation, despite hemorrhage on imaging.

scholarly journals Dural Venous Sinus Thrombosis: A Case Report

2021 ◽  
Vol 59 (244) ◽  
pp. 1316-1319
Author(s):  
Dhiraj Chaurasia ◽  
Bikash Yadav ◽  
Krishna Dhungana
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Sinus Thrombosis ◽  
Magnetic Resonance Venography ◽  
Venous Sinus ◽  
Neurological Deficits ◽  
Resonance Imaging ◽  
Venous Sinus Thrombosis ◽  
Dural Venous Sinus ◽  
Dural Venous Sinus Thrombosis

Dural Venous Sinus Thrombosis is the formation of blood clot within the cerebral sinus. It is very rare case with varying clinical presentation. It has non-specific signs and symptoms ranging from headache, papilledema, seizures, focal neurological deficits and mental state changes which is caused by genetic and acquired prothrombotic states, infections, inflammatory disease and trauma. Magnetic Resonance Imaging with Magnetic Resonance Venography is the specific imaging technique for the diagnosis. We have described a case of a patient who presented with headache over the temporal and occipital region and was disoriented. The Computed Tomography, Magnetic Resonance Imaging, Magnetic Resonance Venography report revealed presence of thrombus in the transverse and sigmoid sinus with hemorrhagic infarcts. He was then treated with anticoagulants Low Molecular Weight Heparin which was further substituted by Warfarin.

Zakrzepica żył i zatok mózgowia – opis przypadku

2017 ◽  
pp. 8
Author(s):  
Mariusz Wachowski
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Sinus Thrombosis ◽  
Venous Sinus ◽  
Susceptibility Weighted Imaging ◽  
Resonance Imaging ◽  
Venous Sinus Thrombosis ◽  
Dural Venous Sinus ◽  
Magnetic Resonance Imaging Mri ◽  
Dural Venous Sinus Thrombosis

Tło. Zakrzepica zatok żylnych (dural venous sinus thrombosis – DVST) stanowi istotny i trudny problem diagnostyczny ze względu na mało specyfi czny obraz kliniczny oraz zróżnicowaną dynamikę objawów. Celem niniejszego opisu przypadku jest uzasadnieniemożliwości wykorzystania sekwencji zależnej od podatności magnetycznej (susceptibility-weighted imaging – SWI) w skutecznym rozpoznawaniu DVST oraz w różnicowaniu jej potencjalnych powikłań. Opis przypadku. 38-letnia pacjentka została przyjęta do kliniki neurologii z powodu silnego bólu głowy z następczą utratą przytomności. Przy przyjęciu wykonano przeglądową tomografi ę komputerową (TK) głowy. Uzyskane obrazy oceniono jako prawidłowe. W 6. dobie hospitalizacji ze względu na nagłe pogorszenie stanu klinicznego oraz podwyższone wartości D-dimerów przeprowadzono jednofazowe badanie metodą rezonansu magnetycznego (magnetic resonance imaging – MRI). Stwierdzono poszerzenie zatoki strzałkowej górnej oraz obecność skrzepliny na odcinku około 55 mm. Ponadto w sekwencji FLAIR oraz T2-zależnej stwierdzonoobszary patologiczne w zakręcie zaśrodkowym. W związku z podejrzeniem wystąpienia zawału żylnego przeprowadzono sekwencję SWI, co pozwoliło na jego wykluczenie. Ustalono rozpoznanie przekrwienia żylnego. Wnioski. Analiza obrazu w sekwencji SWI pozwoliła na jednoznaczne wykluczenie udaru krwotocznego i umożliwiła kontynuowanie terapii przeciwzakrzepowej.

scholarly journals Dural venous sinus thrombosis: A rare complication of pulse corticosteroid therapy in pemphigus vulgaris

2021 ◽  
Vol 12 (4) ◽  
pp. 442-444
Author(s):  
Vijay Gandhi ◽  
Sonia Agrawal ◽  
Sheetal Yadav
Keyword(s):  
Venous Thrombosis ◽  
Corticosteroid Therapy ◽  
Sinus Thrombosis ◽  
Rare Complication ◽  
Pemphigus Vulgaris ◽  
Pulse Therapy ◽  
Venous Sinus ◽  
Venous Sinus Thrombosis ◽  
Dural Venous Sinus ◽  
Dural Venous Sinus Thrombosis

Systemic pulse corticosteroid therapy is used widely in the treatment of pemphigus vulgaris. Dural venous sinus thrombosis as a complication of pulse therapy has not been reported in the literature. A middle-aged female with pemphigus vulgaris was started on monthly pulse dexamethasone therapy with daily azathioprine as an adjuvant. After two pulse therapies, she developed throbbing headache, which on further evaluation was determined to be due to dural venous thrombosis. Other causes of dural venous thrombosis were excluded. Pulse therapy was stopped and other medications were started. The headache subsided within two weeks of stopping pulse therapy. Corticosteroids may play the role of a procoagulant in producing cerebral venous sinus thrombosis. Herein, we report a rare case of dural venous sinus thrombosis due to pulse steroid therapy in pemphigus vulgaris.

Safety and Validity of Mechanical Thrombectomy and Thrombolysis on Severe Cerebral Venous Sinus Thrombosis

Neurosurgery ◽  
2013 ◽  
Vol 72 (5) ◽  
pp. 730-738 ◽  
Author(s):  
Guangwen Li ◽  
Xianwei Zeng ◽  
Mohammed Hussain ◽  
Ran Meng ◽  
Yi Liu ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Treatment Modality ◽  
Mechanical Thrombectomy ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Magnetic Resonance Venography ◽  
Venous Sinus ◽  
Venous Sinus Thrombosis ◽  
Digital Subtract Angiography

Abstract BACKGROUND: Although the majority of patients with cerebral venous sinus thrombosis (CVST) obtain an optimistic clinical outcome after heparin or warfarin treatment, there remains a subgroup of patients who do not respond to conventional anticoagulation treatment. These patients, especially younger people, as documented by hospital-based studies, have a high morbidity and mortality rate. OBJECTIVE: To verify the safety and efficacy of a dual mechanical thrombectomy with thrombolysis treatment modality option in patients with severe CVST. METHODS: Fifty-two patients diagnosed with CVST were enrolled and treated with mechanical thrombectomy combined with thrombolysis. Patients underwent urokinase 100 to 1500 × 103 IU intravenous sinus injection via a jugular catheter after confirming diagnoses of CVST by using either magnetic resonance imaging/magnetic resonance venography or digital subtract angiography. Information obtained on the patients included recanalization status of venous sinuses as evaluated by magnetic resonance venography or digital subtract angiography at admission, during operation, and at 3- and 6-month follow-up after treatment. RESULTS: The percentage of patients that showed complete and partial recanalization were 87% and 6%, respectively, after mechanical thrombectomy combined with thrombolysis treatment; 8% of the patients showed no recanalization. The modified Rankin Scale scores were 1.0 ± 0.9, 0.85 ± 0.63, and 0.37 ± 0.53 for discharge, and 3- and 6-month follow-up, respectively. A total of 6 patients died despite receiving aggressive treatment. No cases of relapse occurred after 3 to 6 months of follow-up. CONCLUSION: Thrombectomy combined with thrombolysis is a safe and valid treatment modality to use in severe CVST cases or in intractable patients that have shown no adequate response to antithrombotic drugs.

Subarachnoid Hemorrhage Following Chronic Dural Venous Sinus Thrombosis

Angiology ◽  
2007 ◽  
Vol 58 (4) ◽  
pp. 498-501 ◽  
Author(s):  
Sunil Pradhan ◽  
Ramakant Yadav ◽  
Himanshu Diwakar ◽  
Rajendra V. Phadke
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Sinus Thrombosis ◽  
Venous Sinus ◽  
Venous Sinus Thrombosis ◽  
Dural Venous Sinus ◽  
Dural Venous Sinus Thrombosis
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