alexa Cerebral Venous Sinus Thrombosis: A Case Report with Re
ISSN: 2165-7920

Journal of Clinical Case Reports
Open Access

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Case Report

Cerebral Venous Sinus Thrombosis: A Case Report with Review of Diagnosis and Treatment Strategies

Kenton K Murthy1* and Dalya L Chefitz2
1 Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, USA
2 Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, USA
Corresponding Author : Kenton K Murthy
Rutgers Robert Wood Johnson Medical School
1 Robert Wood Johnson Place
Medical Education Bldg
2nd Floor, New Brunswick NJ 08903, USA
Tel: +1732-445-4636
E-mail: [email protected]
Received February 18, 2014; Accepted March 21, 2014; Published March 24, 2014
Citation: Murthy KK, Chefitz DL (2014) Cerebral Venous Sinus Thrombosis: A Case Report with Review of Diagnosis and Treatment Strategies. J Clin Case Rep 4:354. doi:10.4172/2165-7920.1000354
Copyright: © 2014 Murthy KK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Cerebral venous sinus thrombosis (CVST) is an often under-diagnosed, life-threatening condition. We report the case of a 17-year-old female who presented with an acute, severe, on-going, headache. The initial head CT was negative. While the patient’s headache initially responded to pain medication and inpatient treatment, the patient subsequently developed left-sided neurological deficits. Subsequent imaging showed thrombosis in the superior sagittal sinus. The patient was treated with Lovenox, as well as thrombolysis using TPA, ballooning and mechanical removal, and soon after her neurological deficits resolved and her headache severity had significantly decreased. The aim of this case report is to provide an example of how early suspicion of CVST, even with initial negative imaging, is critical, as any delay in diagnosis and treatment can cause increased morbidity and mortality

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