Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2011:2011:815618.
doi: 10.1155/2011/815618. Epub 2011 Jul 9.

Delay in diagnosis of cerebral venous and sinus thrombosis: successful use of mechanical thrombectomy and thrombolysis

Christopher T Shah  1 , Jason J Rizqallah, Oladoyin Oluwole, Aleksandrs Kalnins, John N Sheagren
Affiliations
Case Reports

Delay in diagnosis of cerebral venous and sinus thrombosis: successful use of mechanical thrombectomy and thrombolysis

Christopher T Shah et al. Case Rep Med. 2011.

Abstract

Cerebral venous and sinus thrombosis is a relatively rare condition with a variable presentation that can translate into a difficult workup and a delay in diagnosis and treatment. We describe the successful use of mechanical thrombectomy and thrombolysis in the case of an eighteen-year-old woman that presented with progressive thrombosis of the jugular veins and dural sinuses despite adequate anticoagulation. Our case highlights the need for clinicians to include CVST in the initial differential diagnosis of patients in order to prevent delays and poor outcomes.

PubMed Disclaimer

Figures

Figure 1
Figure 1
MRI of brain with contrast demonstrating fluid and enhancement within the mastoids, more extensive on the left, suggestive of mastoiditis.
Figure 2
Figure 2
MRV of head without contrast demonstrating absence of normal flow-related enhancement within the sagittal, transverse, and left sigmoid sinus suggestive of dural sinus thrombosis. There are small adjacent dural vessels in proximity to these thrombosed sinuses.
See this image and copyright information in PMC

References

    1. Bousser MG, Ferro JM. Cerebral venous thrombosis: an update. Lancet Neurology. 2007;6(2):162–170. - PubMed
    1. Filippidis A, Kapsalaki E, Patramani G, Fountas KN. Cerebral venous sinus thrombosis: Review of the demographics, pathophysiology, current diagnosis, and treatment. Neurosurgical Focus. 2009;27(5):E3.1–E3.11. - PubMed
    1. Bentley JN, Figueroa RE, Vender JR. From presentation to follow-up: diagnosis and treatment of cerebral venous thrombosis. Neurosurgical Focus. 2009;27(5):E4.1–E4.7. - PubMed
    1. Coutinho JM, Ferro JM, Canhão P, et al. Cerebral venous and sinus thrombosis in women. Stroke. 2009;40(7):2356–2361. - PubMed
    1. Rajput R, Dhuan J, Agarwal S, Gahlaut PS. Central venous sinus thrombosis in a young woman taking norethindrone acetate for dysfunctional uterine bleeding: case report and review of literature. Journal of Obstetrics and Gynaecology Canada. 2008;30(8):680–683. - PubMed

Publication types

LinkOut - more resources