Rare presentation of iron deficiency anaemia with cerebral venous sinus thrombosis in a middle-aged woman

Abstract

This is a case of a female patient presented with a mild headache associated with recurrent episodes of nausea and vomiting, confusion and right-sided hemiparesis, diagnosed of haemorrhagic venous infarction from the thrombosis of left transverse and sigmoid sinus and probably the left vein of Labbe. She had severe microcytic hypochromic anaemia due to iron deficiency, without any other risk factors for cerebral venous thrombosis such as trauma history, infections, coagulation disorders or autoimmune diseases. She had a good prognosis after iron supplementation and anticoagulation therapy.

Keywords: endoscopy; haematology (drugs and medicines); stroke; vasculitis; venous thromboembolism.

Figure 1

Brain CT showing large posterior parietal and supratemporal venous infarct with haemorrhage (white arrows).

Figure 2

Brain CT venogram showing extensive filling defect left transverse sinus (black arrow). Normal right transverse sinus (white arrows).

Figure 3

Brain CT venogram showing extensive filling defect left sigmoid sinus. Normal right sigmoid sinus (white arrow).