Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: A Rare Case

A married woman aged 31 years who was a vegetarian presented with symptoms of fever with orthostatic throbbing headache, which she had for 7 days. Lumber puncture with manometry showed a low pressure of 40 mmH2O. Magnetic resonance imaging of the brain showed prominent bilateral symmetric pachymenin...

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Main Authors: Deepak Jain, Ashima Mittal
Format: Article
Language:English
Published: Galenos Yayinevi 2016-12-01
Series:Türk Nöroloji Dergisi
Subjects:
Online Access:http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-65471
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author Deepak Jain
Ashima Mittal
author_facet Deepak Jain
Ashima Mittal
author_sort Deepak Jain
collection DOAJ
description A married woman aged 31 years who was a vegetarian presented with symptoms of fever with orthostatic throbbing headache, which she had for 7 days. Lumber puncture with manometry showed a low pressure of 40 mmH2O. Magnetic resonance imaging of the brain showed prominent bilateral symmetric pachymeningeal enhancement with prominent engorged venous sinuses suggestive of intracranial hypotension syndrome. Magnetic resonance venography showed non-visualization of the left transverse and sigmoid sinus suggestive of cortical venous thrombosis. Spontaneous intracranial hypotension, though rare is a real risk factor for cortical venous thrombosis. A high degree of suspicion is needed for a timely diagnosis.
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spelling doaj.art-744090d21adb406c92a227bfbf23a4c62023-02-15T16:15:21ZengGalenos YayineviTürk Nöroloji Dergisi1301-062X2016-12-0122418819110.4274/tnd.65471Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: A Rare CaseDeepak Jain0Ashima Mittal1Pandit Bhagwat Dayal Sharma University of Health Sciences, Department of Medicine, Rohtak, IndiaPandit Bhagwat Dayal Sharma University of Health Sciences, Department of Medicine, Rohtak, IndiaA married woman aged 31 years who was a vegetarian presented with symptoms of fever with orthostatic throbbing headache, which she had for 7 days. Lumber puncture with manometry showed a low pressure of 40 mmH2O. Magnetic resonance imaging of the brain showed prominent bilateral symmetric pachymeningeal enhancement with prominent engorged venous sinuses suggestive of intracranial hypotension syndrome. Magnetic resonance venography showed non-visualization of the left transverse and sigmoid sinus suggestive of cortical venous thrombosis. Spontaneous intracranial hypotension, though rare is a real risk factor for cortical venous thrombosis. A high degree of suspicion is needed for a timely diagnosis.http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-65471Intracranial hypotension syndromecortical venous thrombosisorthostatic headache
spellingShingle Deepak Jain
Ashima Mittal
Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: A Rare Case
Türk Nöroloji Dergisi
Intracranial hypotension syndrome
cortical venous thrombosis
orthostatic headache
title Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: A Rare Case
title_full Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: A Rare Case
title_fullStr Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: A Rare Case
title_full_unstemmed Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: A Rare Case
title_short Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: A Rare Case
title_sort intracranial hypotension syndrome with cortical venous thrombosis a rare case
topic Intracranial hypotension syndrome
cortical venous thrombosis
orthostatic headache
url http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-65471
work_keys_str_mv AT deepakjain intracranialhypotensionsyndromewithcorticalvenousthrombosisararecase
AT ashimamittal intracranialhypotensionsyndromewithcorticalvenousthrombosisararecase