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academies
Archives of General Internal Medicine | Volume 2
&
April 04-05, 2018 | Miami, USA
International Conference on
Internal Medicine & Practice and Primary Care
International Meeting on
Breast Pathology & Cancer Diagnosis
Introduction
: Cerebral venous thrombosis is a rare
condition that is potentially life-threatening that can be
easily overlooked in the setting of vague symptoms in a
young patient without known risk factors. Patients often
present with vague headache, AMS, focal motor deficits,
visual symptoms and/or dysarthria and most frequent
presentations are isolated headache. The confirmation of
CVT relies on the findings of thrombi in the cerebral veins
and sinuses by MR venography or veno CT. Pro-thrombotic
conditions such as infections, trauma, malignancy, lupus,
anti-phospholipid syndrome, or usage of OCP are associated
with the condition. Standard care involves immediate
anticoagulation often yielding good functional outcomes.
Case Discussion/Results
: 35-year-old Dominican female with
a PMH of sinusitis and HTN who presented with a left sided
headache for the past seven days without focal neurologic
deficit. The patient denied photophobia, phonophobia,
vertigo, eye pain, seizures, weakness, numbnessortingling or
visual changes, aura and was found to only have nystagmus
on admission. Cranial nerves were grossly intact and vitals
hemodynamically stable. MRI venography of the brain
revealed a left transverse sinus thrombosis and a sigmoid
sinus thrombosis and patient was placed on therapeutic
lovenox. Clinically patient improved within three days of
lovenox without focal neurologic deficit.
Conclusion
: A high level of suspicion for a rare disorder
like CVT should be considered as part of the differential
diagnosis of a headache especially with known risk factors
and immediate anti-coagulation treatment can prevent fatal
complications. The infrequency with which it is diagnosed/
occurs makes CVT a diagnostic challenge and important in
hospital medicine.
Speaker Biography
Parisa Mehran M.D Internal Medicine Resident at Jersey City Medical Center - Barnabas
Health Jersey City Medical Center - Barnabas Health St. George’s University Jersey City,
New Jersey
e:
parisanmehran@gmail.comHeadache and Cerebral venous thrombosis
Parisa Mehran
Jersey City Medical Center, USA