Deep cerebral venous thrombosis: an illustrative case with reversible diencephalic dysfunction.
Can J Neurol Sci
; 28(2): 159-62, 2001 May.
Article
en En
| MEDLINE
| ID: mdl-11383943
BACKGROUND: Isolated thrombosis of the deep cerebral veins is rare and its diagnosis can be difficult. Mortality is often high and little is known about the long-term prognosis. CASE REPORT: We report a 24-year-old woman with akinetic mutism and extensive bilateral thalamic lesions. CT and MRI allowed early diagnosis by demonstrating thrombosis within the internal cerebral veins, without the need for angiography. Heparin treatment was used safely despite the presence of thalamic and intraventricular hemorrhage. After five weeks, the patient recovered rapidly and remains well at 18 months. Serial MRI showed dramatic resolution of the imaging abnormalities. CONCLUSIONS: The clinical features and characteristic neuroimaging appearance of deep cerebral venous thrombosis should be recognized by physicians caring for stroke patients. Deep cerebral venous thrombosis can produce extensive venous congestion and vasogenic edema without early infarction. Excellent clinical recovery is possible even after severe and prolonged neurological deficits.
Buscar en Google
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Trombosis de la Vena
/
Trombosis Intracraneal
/
Diencéfalo
/
Mutismo Acinético
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
/
Screening_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Can J Neurol Sci
Año:
2001
Tipo del documento:
Article
Pais de publicación:
Reino Unido