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...

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Main Authors: Muhammad Yousaf, Qaisar Ali Khan, Michelle R Anthony, Aliena Badshah, Parsa Abdi, Christopher Farkouh, Faiza Amatul Hadi, Rukhsar Jan, Arooba Khan, Sumaira Iram
Format: Article
Language:English
Published: SAGE Publishing 2023-04-01
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.
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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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