Successful management of cerebral venous sinus thrombosis due to adenomyosis: Case reports and literature review.
Clin Neurol Neurosurg
; 229: 107726, 2023 06.
Article
en En
| MEDLINE
| ID: mdl-37094498
ABSTRACT
OBJECTIVES:
Cerebral venous sinus thrombosis (CVST) due to adenomyosis, though rare, threaten women with severe morbidity. Adenomyosis is easily overlooked in the etiological assessment of CVST. Etiological under-recognization has considerable prognostic, and therapeutic implications. The current study reports two cases of successful management of cerebral venous sinus thrombosis due to adenomyosis. MATERIALS ANDMETHODS:
We present two young women with cerebral venous sinus thrombosis due to adenomyosis. We additionally review the literature to identify previously reported cases of stroke associated with adenomyosis.RESULTS:
Except for this report, a total of 25 cases of stroke related to adenomyosis have been reported in the literature, of which only three cases are related to CVST. Through their diagnosis and treatment, we believe that early diagnosis and treatment are important for these patients with long-term illnesses. In addition, through literature review, for female stroke patients with heavy menstruation combined with anemia or carbohydrate antigen (CA) 125 elevation, the existence of adenomyosis should be vigilant and the etiological treatment should be timely targeted.CONCLUSION:
Our cases illustrate the significance of the etiological identification of CVST for women with adenomyosis and serve to increase clinicians' awareness of this disabling, but sometimes treatable, condition. In CVST due to adenomyosis associated with iron deficiency anemia and/or high serum CA125 level, antithrombotic therapy and treatment for the anemia may improve the hypercoagulable state. The long-term monitoring of D-dimer levels is required.Palabras clave
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Trombosis de los Senos Intracraneales
/
Accidente Cerebrovascular
/
Adenomiosis
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
/
Screening_studies
Límite:
Female
/
Humans
Idioma:
En
Revista:
Clin Neurol Neurosurg
Año:
2023
Tipo del documento:
Article
País de afiliación:
China