Cerebral venous sinus thrombosis manifesting as chronic spontaneous subdural hematoma: case report and review of the literature
Abstract Background Cerebral venous sinus thrombosis (CVST) is a rare form of stroke that is mainly seen in young women. It is frequently associated with hemorrhagic venous infarction and subarachnoid hemorrhage. There are few reports of CVST associated with chronic non-traumatic subdural hematoma (...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-01-01
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| Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41983-023-00778-5 |
| _version_ | 1797355934646796288 |
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| author | Fares Laouar Yasser Brahmia Lotfi Boublata |
| author_facet | Fares Laouar Yasser Brahmia Lotfi Boublata |
| author_sort | Fares Laouar |
| collection | DOAJ |
| description | Abstract Background Cerebral venous sinus thrombosis (CVST) is a rare form of stroke that is mainly seen in young women. It is frequently associated with hemorrhagic venous infarction and subarachnoid hemorrhage. There are few reports of CVST associated with chronic non-traumatic subdural hematoma (SDH). The diagnosis of CVST with spontaneous SDH is difficult because of the variability of its clinical features. The management of SDH associated with CVST is controversial and not well-established. Case presentation We report a 26-year-old woman with positive COVID-19 serology who presented with superior longitudinal sinus thrombosis associated with chronic spontaneous SDH. She was managed conservatively and treated with anticoagulation and corticosteroids. A follow-up angioscan 1 month after treatment showed regression of the SDH volume with partial repermeabilisation of the thrombosed sinus. Three months later, the follow-up angioscan showed complete resolution of the chronic SDH and superior longitudinal sinus thrombosis with restoration of venous flow. Conclusions CVST can also present with spontaneous chronic SDH. The management of SDH concomitant with CVST remains controversial due to the rarity of its presentation and the risks associated with the use of anticoagulation. |
| first_indexed | 2024-03-08T14:18:21Z |
| format | Article |
| id | doaj.art-986303137fa7432d9d079c9f762dffb9 |
| institution | Directory Open Access Journal |
| issn | 1687-8329 |
| language | English |
| last_indexed | 2024-03-08T14:18:21Z |
| publishDate | 2024-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| spelling | doaj.art-986303137fa7432d9d079c9f762dffb92024-01-14T12:15:58ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292024-01-016011610.1186/s41983-023-00778-5Cerebral venous sinus thrombosis manifesting as chronic spontaneous subdural hematoma: case report and review of the literatureFares Laouar0Yasser Brahmia1Lotfi Boublata2Neurofibromatosis Type 2 Research Laboratory, Faculty of Medicine, University of Constantine 3 Salah BoubniderDepartment of Neurosurgery, Benbadis University Hospital CentreNeurofibromatosis Type 2 Research Laboratory, Faculty of Medicine, University of Constantine 3 Salah BoubniderAbstract Background Cerebral venous sinus thrombosis (CVST) is a rare form of stroke that is mainly seen in young women. It is frequently associated with hemorrhagic venous infarction and subarachnoid hemorrhage. There are few reports of CVST associated with chronic non-traumatic subdural hematoma (SDH). The diagnosis of CVST with spontaneous SDH is difficult because of the variability of its clinical features. The management of SDH associated with CVST is controversial and not well-established. Case presentation We report a 26-year-old woman with positive COVID-19 serology who presented with superior longitudinal sinus thrombosis associated with chronic spontaneous SDH. She was managed conservatively and treated with anticoagulation and corticosteroids. A follow-up angioscan 1 month after treatment showed regression of the SDH volume with partial repermeabilisation of the thrombosed sinus. Three months later, the follow-up angioscan showed complete resolution of the chronic SDH and superior longitudinal sinus thrombosis with restoration of venous flow. Conclusions CVST can also present with spontaneous chronic SDH. The management of SDH concomitant with CVST remains controversial due to the rarity of its presentation and the risks associated with the use of anticoagulation.https://doi.org/10.1186/s41983-023-00778-5AnticoagulationCerebral venous sinus thrombosisChronic subdural hematomaCOVID-19Stroke |
| spellingShingle | Fares Laouar Yasser Brahmia Lotfi Boublata Cerebral venous sinus thrombosis manifesting as chronic spontaneous subdural hematoma: case report and review of the literature The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Anticoagulation Cerebral venous sinus thrombosis Chronic subdural hematoma COVID-19 Stroke |
| title | Cerebral venous sinus thrombosis manifesting as chronic spontaneous subdural hematoma: case report and review of the literature |
| title_full | Cerebral venous sinus thrombosis manifesting as chronic spontaneous subdural hematoma: case report and review of the literature |
| title_fullStr | Cerebral venous sinus thrombosis manifesting as chronic spontaneous subdural hematoma: case report and review of the literature |
| title_full_unstemmed | Cerebral venous sinus thrombosis manifesting as chronic spontaneous subdural hematoma: case report and review of the literature |
| title_short | Cerebral venous sinus thrombosis manifesting as chronic spontaneous subdural hematoma: case report and review of the literature |
| title_sort | cerebral venous sinus thrombosis manifesting as chronic spontaneous subdural hematoma case report and review of the literature |
| topic | Anticoagulation Cerebral venous sinus thrombosis Chronic subdural hematoma COVID-19 Stroke |
| url | https://doi.org/10.1186/s41983-023-00778-5 |
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