A Case Report of Cerebral Venous Thrombosis in Polycythemia Vera Presenting with Intracranial and Spinal Subdural Hematoma
Spinal subdural hematoma (SDH) is a rare condition and can be caused by several factors. Concomitant cranial and spinal SDH is even much less common. We present a 77-year-old male patient with lower back pain, paraparesis, and urinary retention following a sudden onset headache. Imaging revealed con...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2010-05-01
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| Series: | Case Reports in Neurology |
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| Online Access: | http://www.karger.com/Article/FullText/313953 |
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| author | Nermin Görkem Sirin Nilufer Yesilot Esme Ekizoglu Nur Keles Rezzan Tuncay Oguzhan Coban Sara Zarko Bahar |
| author_facet | Nermin Görkem Sirin Nilufer Yesilot Esme Ekizoglu Nur Keles Rezzan Tuncay Oguzhan Coban Sara Zarko Bahar |
| author_sort | Nermin Görkem Sirin |
| collection | DOAJ |
| description | Spinal subdural hematoma (SDH) is a rare condition and can be caused by several factors. Concomitant cranial and spinal SDH is even much less common. We present a 77-year-old male patient with lower back pain, paraparesis, and urinary retention following a sudden onset headache. Imaging revealed concomitant cranial and spinal SDH related to cerebral venous thrombosis (CVT) associated with hemorrhagic venous infarct. Laboratory examinations were consistent with polycythemia vera. There was no history of trauma and previous cranial surgery. Brain angiography did not reveal any evidence of arteriovenous fistula or vascular malformation. Since lower back pain occurred shortly after the headache and there was no other reasonable explanation for spinal hemorrhage, we suppose that the mechanism of spinal SDH is the migration of blood from the intracranial compartment. Therefore, this is the first report of concomitant spinal SDH and cerebral hemorrhage associated with CVT in a patient with myeloproliferative disease. |
| first_indexed | 2024-12-13T18:48:34Z |
| format | Article |
| id | doaj.art-f8d95253d10147598d3db751e1de971c |
| institution | Directory Open Access Journal |
| issn | 1662-680X |
| language | English |
| last_indexed | 2024-12-13T18:48:34Z |
| publishDate | 2010-05-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Neurology |
| spelling | doaj.art-f8d95253d10147598d3db751e1de971c2022-12-21T23:35:00ZengKarger PublishersCase Reports in Neurology1662-680X2010-05-0122374510.1159/000313953313953A Case Report of Cerebral Venous Thrombosis in Polycythemia Vera Presenting with Intracranial and Spinal Subdural HematomaNermin Görkem SirinNilufer YesilotEsme EkizogluNur KelesRezzan TuncayOguzhan CobanSara Zarko BaharSpinal subdural hematoma (SDH) is a rare condition and can be caused by several factors. Concomitant cranial and spinal SDH is even much less common. We present a 77-year-old male patient with lower back pain, paraparesis, and urinary retention following a sudden onset headache. Imaging revealed concomitant cranial and spinal SDH related to cerebral venous thrombosis (CVT) associated with hemorrhagic venous infarct. Laboratory examinations were consistent with polycythemia vera. There was no history of trauma and previous cranial surgery. Brain angiography did not reveal any evidence of arteriovenous fistula or vascular malformation. Since lower back pain occurred shortly after the headache and there was no other reasonable explanation for spinal hemorrhage, we suppose that the mechanism of spinal SDH is the migration of blood from the intracranial compartment. Therefore, this is the first report of concomitant spinal SDH and cerebral hemorrhage associated with CVT in a patient with myeloproliferative disease.http://www.karger.com/Article/FullText/313953Cranial subdural hematomaSpinal subdural hematomaConcomitantCerebral venous thrombosisPolycythemia vera |
| spellingShingle | Nermin Görkem Sirin Nilufer Yesilot Esme Ekizoglu Nur Keles Rezzan Tuncay Oguzhan Coban Sara Zarko Bahar A Case Report of Cerebral Venous Thrombosis in Polycythemia Vera Presenting with Intracranial and Spinal Subdural Hematoma Case Reports in Neurology Cranial subdural hematoma Spinal subdural hematoma Concomitant Cerebral venous thrombosis Polycythemia vera |
| title | A Case Report of Cerebral Venous Thrombosis in Polycythemia Vera Presenting with Intracranial and Spinal Subdural Hematoma |
| title_full | A Case Report of Cerebral Venous Thrombosis in Polycythemia Vera Presenting with Intracranial and Spinal Subdural Hematoma |
| title_fullStr | A Case Report of Cerebral Venous Thrombosis in Polycythemia Vera Presenting with Intracranial and Spinal Subdural Hematoma |
| title_full_unstemmed | A Case Report of Cerebral Venous Thrombosis in Polycythemia Vera Presenting with Intracranial and Spinal Subdural Hematoma |
| title_short | A Case Report of Cerebral Venous Thrombosis in Polycythemia Vera Presenting with Intracranial and Spinal Subdural Hematoma |
| title_sort | case report of cerebral venous thrombosis in polycythemia vera presenting with intracranial and spinal subdural hematoma |
| topic | Cranial subdural hematoma Spinal subdural hematoma Concomitant Cerebral venous thrombosis Polycythemia vera |
| url | http://www.karger.com/Article/FullText/313953 |
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