Snakebite Induced Cerebral Venous Sinus Thrombosis: A Case Report
Introduction: Cerebral venous sinus thrombosis (CVST) is a rare but highly fatal neurological condition mostly caused by prothrombotic conditions like antiphospholipid syndrome, factor V Leiden, and G20210A prothrombin polymorphism. Snake bites are a rare cause of cerebral venous sinus thrombosis th...
Main Authors: | , , , , , , , , , |
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Format: | Article |
Language: | English |
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SAGE Publishing
2023-04-01
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Series: | Clinical Medicine Insights: Case Reports |
Online Access: | https://doi.org/10.1177/11795476231165750 |
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author | Muhammad Yousaf Qaisar Ali Khan Michelle R Anthony Aliena Badshah Parsa Abdi Christopher Farkouh Faiza Amatul Hadi Rukhsar Jan Arooba Khan Sumaira Iram |
author_facet | Muhammad Yousaf Qaisar Ali Khan Michelle R Anthony Aliena Badshah Parsa Abdi Christopher Farkouh Faiza Amatul Hadi Rukhsar Jan Arooba Khan Sumaira Iram |
author_sort | Muhammad Yousaf |
collection | DOAJ |
description | Introduction: Cerebral venous sinus thrombosis (CVST) is a rare but highly fatal neurological condition mostly caused by prothrombotic conditions like antiphospholipid syndrome, factor V Leiden, and G20210A prothrombin polymorphism. Snake bites are a rare cause of cerebral venous sinus thrombosis that must be recognized and treated promptly to improve survival. Case presentation: We present a case of a 25-year-old male who developed headaches and seizures following a Viper snake bite. The diagnosis was made based on a magnetic resonance venogram (MRV) showing transverse sinus thrombosis with sigmoid sinus stenosis. Initially, the patient was treated with antivenom and supportive treatment for disseminated intravascular coagulation (DIC). After the diagnosis of CVST, the patient was treated with rivaroxaban and levetiracetam. The patient improved within 1 week of treatment and was advised to follow up in 3 months. Conclusion: A high index of suspicion for cerebral venous sinus thrombosis is required if the patient presents with headaches, seizures, or abnormal vision following a snake bite. Early diagnosis and management can prevent further neurological damage. |
first_indexed | 2024-04-09T19:38:50Z |
format | Article |
id | doaj.art-7b1798c0885d4145a96c82dd19e0277f |
institution | Directory Open Access Journal |
issn | 1179-5476 |
language | English |
last_indexed | 2024-04-09T19:38:50Z |
publishDate | 2023-04-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Clinical Medicine Insights: Case Reports |
spelling | doaj.art-7b1798c0885d4145a96c82dd19e0277f2023-04-04T09:03:41ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762023-04-011610.1177/11795476231165750Snakebite Induced Cerebral Venous Sinus Thrombosis: A Case ReportMuhammad Yousaf0Qaisar Ali Khan1Michelle R Anthony2Aliena Badshah3Parsa Abdi4Christopher Farkouh5Faiza Amatul Hadi6Rukhsar Jan7Arooba Khan8Sumaira Iram9Khyber Teaching Hospital MTI KTH, Peshawar, PakistanKhyber Teaching Hospital MTI KTH, Peshawar, PakistanUniversity of Arizona College of Medicine, Tucson, AZ, USAKhyber Teaching Hospital MTI KTH, Peshawar, PakistanMemorial University, St. Johns, NL, CanadaRush Medical College, Chicago, IL, USAMercer University School of Medicine, Macon, GA, USADHQ and Teaching Hospital KDA, Kohat, PakistanKhyber Teaching Hospital MTI KTH, Peshawar, PakistanSultan Qaboos University, Muscat, OmanIntroduction: Cerebral venous sinus thrombosis (CVST) is a rare but highly fatal neurological condition mostly caused by prothrombotic conditions like antiphospholipid syndrome, factor V Leiden, and G20210A prothrombin polymorphism. Snake bites are a rare cause of cerebral venous sinus thrombosis that must be recognized and treated promptly to improve survival. Case presentation: We present a case of a 25-year-old male who developed headaches and seizures following a Viper snake bite. The diagnosis was made based on a magnetic resonance venogram (MRV) showing transverse sinus thrombosis with sigmoid sinus stenosis. Initially, the patient was treated with antivenom and supportive treatment for disseminated intravascular coagulation (DIC). After the diagnosis of CVST, the patient was treated with rivaroxaban and levetiracetam. The patient improved within 1 week of treatment and was advised to follow up in 3 months. Conclusion: A high index of suspicion for cerebral venous sinus thrombosis is required if the patient presents with headaches, seizures, or abnormal vision following a snake bite. Early diagnosis and management can prevent further neurological damage.https://doi.org/10.1177/11795476231165750 |
spellingShingle | Muhammad Yousaf Qaisar Ali Khan Michelle R Anthony Aliena Badshah Parsa Abdi Christopher Farkouh Faiza Amatul Hadi Rukhsar Jan Arooba Khan Sumaira Iram Snakebite Induced Cerebral Venous Sinus Thrombosis: A Case Report Clinical Medicine Insights: Case Reports |
title | Snakebite Induced Cerebral Venous Sinus Thrombosis: A Case Report |
title_full | Snakebite Induced Cerebral Venous Sinus Thrombosis: A Case Report |
title_fullStr | Snakebite Induced Cerebral Venous Sinus Thrombosis: A Case Report |
title_full_unstemmed | Snakebite Induced Cerebral Venous Sinus Thrombosis: A Case Report |
title_short | Snakebite Induced Cerebral Venous Sinus Thrombosis: A Case Report |
title_sort | snakebite induced cerebral venous sinus thrombosis a case report |
url | https://doi.org/10.1177/11795476231165750 |
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