scholarly journals Mechanical Thrombectomy for Life-Threatening Cerebral Venous Thrombosis: A Case Report

2020 ◽  
Vol 12 (Suppl. 1) ◽  
pp. 63-69
Author(s):  
Kar Foo Lau ◽  
Tsun-Haw Toh ◽  
Khairul Azmi Abdul Kadir ◽  
Mei-Ling Sharon Tai  ◽  
Kay Sin Tan
Keyword(s):  
Case Report ◽  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Mechanical Thrombectomy ◽  
Anticoagulation Therapy ◽  
First Line ◽  
Venous Flow ◽  
Clinical Presentations ◽  
Wide Range ◽  
Life Threatening

Cerebral venous thrombosis (CVT) is a rare cause of stroke worldwide with a wide range of clinical presentations. Anticoagulation therapy has been regarded as the first line of management of CVT to prevent the progression of thrombosis and to re-establish the venous flow. We present a case of severe CVT who did not respond to conventional anticoagulation therapy but responded well to mechanical thrombectomy (MT). This report highlights the features of CVT to consider for early MT.

scholarly journals Deep Venous Thrombosis and Bilateral Pulmonary Embolism Revealing Silent Celiac Disease: Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Igor Dumic ◽  
Scott Martin ◽  
Nadim Salfiti ◽  
Robert Watson ◽  
Tamara Alempijevic
Keyword(s):  
Celiac Disease ◽  
Case Report ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Deficiency Anemia ◽  
Increased Risk ◽  
Disease Case ◽  
Wide Range ◽  
Life Threatening ◽  
Work Up

Celiac disease (CD) is a systemic, chronic autoimmune disease that occurs in genetically predisposed individuals following dietary gluten exposure. CD can present with a wide range of gastrointestinal and extraintestinal manifestations and requires lifelong adherence to a gluten-free diet [GFD]. Venous thromboembolism (VTE) as a presentation of celiac disease is unusual and rarely reported. We present a case of a 46-year-old man who was admitted for shortness of breath and pleuritic chest pain and was found to have iron deficiency anemia, deep venous thrombosis, and bilateral pulmonary emboli (PE). After work-up for his anemia, the patient was diagnosed with CD. Comprehensive investigation for inherited or acquired prothrombotic disorders was negative. It is becoming increasingly recognized that CD is associated with an increased risk for VTE. PE, however, as a presentation of CD is exceedingly rare and to the best of our knowledge this is the third case report of such an occurrence and the only case report of a patient from North America. It is important to recognize that the first symptoms or signs of celiac disease might be extraintestinal. Furthermore, VTE as a presentation of CD is rare but life-threatening.

scholarly journals Successful Endovascular Treatment of Cerebral Venous Thrombosis With a Novel, Larger Aspiration Catheter (REACT): A Case Report

2020 ◽  
Author(s):  
Kaushik Sundar ◽  
Sabharisundarvel Paulraj ◽  
Shuvro Roy Choudhury ◽  
Haseeb Hassan ◽  
Judhajit Sengupta ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Medical Management ◽  
Cerebral Venous Thrombosis ◽  
Lower Risk ◽  
Mechanical Thrombectomy ◽  
Treatment Options ◽  
Rare Clinical Entity ◽  
Modified Rankin Scale ◽  
Clinical Presentations ◽  
Hemorrhagic Complications

Cerebral venous thrombosis (CVT) is a rare clinical entity, with clinical presentations extending from headache and seizures to coma and death. For adults developing progressive neurological worsening despite adequate medical management, endovascular thrombolysis and/or mechanical thrombectomy may be considered as treatment options. We present one such patient with CVT who developed seizures and slipped into a coma, despite best medical management. A large-bore aspiration catheter was used as a standalone system for the endovascular procedure. The venous sinuses were successfully re-canalized. The patient was discharged a week later with a modified Rankin scale of 2. Studies show that endovascular thrombolysis used alone or in conjunction with thrombectomy for CVT has a higher risk of hemorrhagic complications. If we were to use mechanical thrombectomy devices (that are specifically designed for intracranial clot retrieval) as a stand-alone system, we would probably have better clinical outcomes with a lower risk of hemorrhagic complications.

scholarly journals Cerebral venous sinus thrombosis

2016 ◽  
Vol 5 ◽  
pp. 48-61
Author(s):  
Golnaz Yadollahikhales ◽  
Afshin Borhani-Haghighi ◽  
Anahid Safari ◽  
Mohammad Wasay ◽  
Randall C.Edgell
Keyword(s):  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Contraceptive Pills ◽  
Contrast Enhanced ◽  
Clinical Presentations ◽  
Threatening Condition ◽  
Life Threatening ◽  
Magnetic Resonance Imaging Mri

Cerebral venous thrombosis (CVT) is occlusion of dural sinuses and/or cortical veins due to clot formation. It is a potentially   life-threatening condition that requires rapid diagnosis and urgent treatment.Cerebral venous thrombosis is   more common in   females and young people. Pregnancy, postpartum state, contraceptive pills,  infection, malignancy,  hyper-coagulable state, rheumatological disorders, trauma are among the major etiologies of cerebral venous thrombosis. Headache, focal neurologic deficits and seizure were the most common clinical presentations. Different techniques of unenhanced and contrast enhanced   brain  computerized tomography(CT scan)  and ,magnetic resonance imaging(MRI) are the most helpful ancillary investigations for diagnosis of Cerebral venous thrombosis.Specific treatment  of the underlying cause of cerebral venous thrombosis should be considered as the mainstay of the treatment. Anticoagulation with heparin or low molecular weight heparinoids  is  the most accepted treatment. In acute phase, medical   or surgical management to decrease intracranial pressure (ICP) is   also recommended. If the patient's clinical   condition aggravates despite adequate anticoagulation, thrombolysis  or mechanical thrombectomy can be an additive option.

scholarly journals Cerebral venous thrombosis in a patient with Down syndrome and coronavirus disease 2019: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Henry Robayo-Amortegui ◽  
Natalia Valenzuela-Faccini ◽  
Cesar Quecano-Rosas ◽  
Darlyng Zabala-Muñoz ◽  
Michel Perez-Garzon
Keyword(s):  
Risk Factors ◽  
Down Syndrome ◽  
Case Report ◽  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Epidemiological Data ◽  
Thromboembolic Disease ◽  
Hispanic Woman ◽  
Case Presentation ◽  
The World

Abstract Background The new coronavirus disease 2019 pandemic has spread throughout most of the world. Cerebral venous thrombosis is a rare thromboembolic disease that can present as an extrapulmonary complication in coronavirus disease 2019 infection. Case presentation We report the case of a Hispanic woman with Down syndrome who has coronavirus disease 2019 and presents as a complication extensive cerebral venous thrombosis. Conclusions Cerebral venous thrombosis is a rare thromboembolic disease that can present as an extrapulmonary complication in coronavirus disease 2019 infection. In the absence of clinical and epidemiological data, it is important to carry out further investigation of the risk factors and pathophysiological causes related to the development of cerebrovascular thrombotic events in patients with Down syndrome with coronavirus disease 2019 infection.

Unusual cerebral venous thrombosis presenting with peripheral facial palsy: A case report

2013 ◽  
Vol 333 ◽  
pp. e269-e270
Author(s):  
A. Tufekci ◽  
S. Kirbas ◽  
S. Cakmak ◽  
A. Kirbas ◽  
A. Kanat
Keyword(s):  
Case Report ◽  
Venous Thrombosis ◽  
Facial Palsy ◽  
Cerebral Venous Thrombosis ◽  
Peripheral Facial Palsy

IgG4-related pachymeningitis and mastoiditis, associated with cerebral venous thrombosis: A case report

2021 ◽  
Vol 360 ◽  
pp. 577717
Author(s):  
Christelle Nilles ◽  
Guillaume Poillon ◽  
Lydia Deschamps ◽  
Mary Daval ◽  
Ibrahima Mariam Diallo ◽  
...  
Keyword(s):  
Case Report ◽  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis

Reversal of restricted diffusion in cerebral venous thrombosis: case report

2004 ◽  
Vol 46 (2) ◽  
pp. 118-121 ◽  
Author(s):  
D. Sarma ◽  
R. I. Farb ◽  
D. J. Mikulis ◽  
K. G. terBrugge
Keyword(s):  
Case Report ◽  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Restricted Diffusion
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