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Case Reports
. 2021 Feb 22;13(2):e13497.
doi: 10.7759/cureus.13497.

Dural Venous Sinus Thrombosis Leading to Subarachnoid Hemorrhage

Harwindar Kumar  1 , Sundas Ali  2 , Jasvindar Kumar  3 , Muhammad Nabeel Anwar  4 , Romil Singh  5
Affiliations
Case Reports

Dural Venous Sinus Thrombosis Leading to Subarachnoid Hemorrhage

Harwindar Kumar et al. Cureus. .

Abstract

Dural venous sinus thrombosis (DVST) leading to subarachnoid hemorrhage (SAH) is rarely reported in the literature. A 25-year-old primigravida with a history of pre-eclampsia presented with sudden onset headache, confusion, and loss of consciousness. Examination revealed bilateral equivocal planters and bilateral papillary edema. MRI and magnetic resonance venography (MRV) showed the right sinus thrombosis with elements of SAH. The coagulation profile was unremarkable. She was commenced on low molecular weight heparin with periodic monitoring of her Glasgow Coma Scale (GCS). Her condition started improving gradually. Repeat MRI and MRV after 10 days showed resolution of thrombosis and SAH. She was discharged with follow-up, and she was doing well on her recent visit two weeks later.

Keywords: cerebral venous sinus thrombosis; dural venous sinus thrombosis; subarachnoid hemorrhage.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Axial images of the brain MRI showing DVST and SAH; high signal linear intensities in T1-weighted image, more prominent in the parietal lobe (a and b), diffusion restriction in the splenium of corpus callosum (c), loss of visualization of right sinus transverse on MRV (d), hyperintensity in bilateral sulci of the cortex (e), and hyperdense material filling the subarachnoid space (f).
MRI: magnetic resonance imaging; DVST: dural venous sinus thrombosis, SAH: subarachnoid hemorrhage, MRV: magnetic resonance venography
Figure 2
Figure 2. Axial image of the brain after 10 days of hospital admission showing resolution.
See this image and copyright information in PMC

References

    1. Subarachnoid hemorrhage as the initial presentation of dural sinus thrombosis. Oppenheim C, Domigo V, Gauvrit JY, Lamy C, Mackowiak-Cordoliani MA, Pruvo JP, Méder JF. https://pubmed.ncbi.nlm.nih.gov/15760875/ AJNR Am J Neuroradiol. 2005;26:614–617. - PMC - PubMed
    1. Subarachnoid hemorrhage: a rare presentation of cerebral venous thrombosis. Sztajzel R, Coeytaux A, Dehdashti AR, Delavelle J, Sinnreich M. https://pubmed.ncbi.nlm.nih.gov/11703476/ Headache. 2001;41:889–892. - PubMed
    1. Localized convexity subarachnoid haemorrhage—a sign of early cerebral venous sinus thrombosis. Panda S, Prashantha DK, Ravi Shankar S, Nagaraja D. Eur J Neurol. 2010;17:1249–1258. - PubMed
    1. Cortical subarachnoid hemorrhage caused by cerebral venous thrombosis. Oda S, Shimoda M, Hoshikawa K, Osada T, Yoshiyama M, Matsumae M. Neurol Med Chir (Tokyo) 2011;51:30–36. - PubMed
    1. Isolated acute nontraumatic cortical subarachnoid hemorrhage. Cuvinciuc V, Viguier A, Calviere L, Raposo N, Larrue V, Cognard C, Bonneville F. Am J Neuroradiol. 2010;31:1355–1362. - PMC - PubMed

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