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
. 2015 Mar;13(1):40-3.
doi: 10.3121/cmr.2014.1225. Epub 2014 Nov 7.

Cerebral venous thrombosis with subarachnoid hemorrhage: a case report

José Carlos Arévalo-Lorido  1 , Juana Carretero-Gómez  2
Affiliations
Case Reports

Cerebral venous thrombosis with subarachnoid hemorrhage: a case report

José Carlos Arévalo-Lorido et al. Clin Med Res. 2015 Mar.

Abstract

Cerebral venous thrombosis (CVT) presenting as subarachnoid hemorrhage (SAH) is infrequent. We present the case of a man with CVT of the right transverse sinus who presented with a SAH in the right parietal sinus. In this case, we describe a hyper-homocysteinemia in a heterozygous patient for the methylenetetrahydrofolate reductase C667T mutation. Our report highlights the value of an early diagnosis of CVT, the importance of identifying possible causes that could be reversed with an appropriate treatment, and the controversy about the timing for starting anticoagulation therapy in such cases.

Keywords: Cerebral venous thrombosis; Cortical subarachnoid hemorrhage; Homocysteine.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Computed tomography scan of the patient showing subarachnoid hemorrhage.
Figure 2
Figure 2
Magnetic resonance imaging of the patient showing subarachnoid hemorrhage in right parietal lobe.
Figure 3
Figure 3
Angiography (venous phase) showing the thrombosis in the right transverse sinus.
See this image and copyright information in PMC

References

    1. Iurlaro S, Beghi E, Massetto N, Guccione A, Autunno M, Colombo B, Di Monda T, Gionco M, Cortelli P, Perini F, D’Onofrio F, Agostoni E. Does headache represent a clinical marker in early diagnosis of cerebral venous thrombosis? A prospective multicentric study. Neurol Sci 2004;25:S298–S299. - PubMed
    1. Benabu Y, Mark L, Daniel S, Glikstein R. Cerebral venous thrombosis presenting with subarachnoid hemorrhage. Case report and review. Am J Emerg Med 2009;27:96–106. - PubMed
    1. Martelli N, Colli BO, Assirati JA, Junior, Machado HR. Cerebromeningeal hemorrhage. Analysis of autopsies performed over a 10-year period. Arq Neuropsiquiatr 1998;46:166–175. - PubMed
    1. Verhoef P, Hennekens CH, Malinow MR, Kok FJ, Willet WC, Stampfer MJ. A prospective study of plasma homocyst(e)ine and risk of ischemic stroke. Stroke 1994;25:1924–1930. - PubMed
    1. Leach JL, Strub WM, Gaskill-Shipley MF. Cerebral venous thrombus signal intensity and susceptibility effects on gradient recalled-echo MR imaging. AJNR Am J Neuroradiol 2007;28:940–945. - PMC - PubMed

Publication types

Substances

LinkOut - more resources