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Rare cause of cerebral venous sinus thrombosis: Spontaneous intracranial hypotension syndrome: A case report

BACKGROUND: Spontaneous intracranial hypotension syndrome is a relatively uncommon neurological disorder of unknown etiology with a good prognosis. Cerebral venous sinus thrombosis is a specific type of cerebrovascular disease caused by multiple etiologies of cerebral venous sinus or vein thrombosis...

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Autor principal: Huang, Pan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353506/
https://www.ncbi.nlm.nih.gov/pubmed/37469739
http://dx.doi.org/10.12998/wjcc.v11.i19.4677
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author Huang, Pan
author_facet Huang, Pan
author_sort Huang, Pan
collection PubMed
description BACKGROUND: Spontaneous intracranial hypotension syndrome is a relatively uncommon neurological disorder of unknown etiology with a good prognosis. Cerebral venous sinus thrombosis is a specific type of cerebrovascular disease caused by multiple etiologies of cerebral venous sinus or vein thrombosis that obstructs cerebral venous return and is associated with impaired cerebrospinal fluid absorption; this entity is rarely seen clinically. Spontaneous intracranial hypotension syndrome is one of the causes of cerebral venous sinus thrombosis, and the probability of their combined occurrence is only 1%-2%. As such, it is easily overlooked clinically, thus increasing the difficulty of diagnosis and treatment. CASE SUMMARY: A 29-year-old young woman presented with postural headache. Lumbar puncture suggested a pressure of 50 mmH(2)O (normal 80 mmH(2)O-180 mmH(2)O), and magnetic resonance imaging cerebral venography suggested thrombosis of the supratentorial sinus. These findings were considered indicative of cerebral venous sinus thrombosis due to spontaneous intracranial hypotension syndrome after ruling out immunological causes, tumor, infection, abnormal coagulation mechanism, and hypercoagulable state, etc. She was treated with rehydration and low-molecular heparin anticoagulation for 15 d, and follow-up magnetic resonance imaging cerebral venography suggested resolution of the thrombus. The patient had complete improvement of her headache symptoms. CONCLUSION: Spontaneous intracranial hypotension syndrome is one of the rare causes of cerebral venous sinus thrombosis, which is frequently misdiagnosed or missed and deserves consideration by clinicians during differential diagnosis. Dehydration should be avoided in such patients, and early rehydration and anticoagulation therapy are effective treatment options.
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spelling pubmed-103535062023-07-19 Rare cause of cerebral venous sinus thrombosis: Spontaneous intracranial hypotension syndrome: A case report Huang, Pan World J Clin Cases Case Report BACKGROUND: Spontaneous intracranial hypotension syndrome is a relatively uncommon neurological disorder of unknown etiology with a good prognosis. Cerebral venous sinus thrombosis is a specific type of cerebrovascular disease caused by multiple etiologies of cerebral venous sinus or vein thrombosis that obstructs cerebral venous return and is associated with impaired cerebrospinal fluid absorption; this entity is rarely seen clinically. Spontaneous intracranial hypotension syndrome is one of the causes of cerebral venous sinus thrombosis, and the probability of their combined occurrence is only 1%-2%. As such, it is easily overlooked clinically, thus increasing the difficulty of diagnosis and treatment. CASE SUMMARY: A 29-year-old young woman presented with postural headache. Lumbar puncture suggested a pressure of 50 mmH(2)O (normal 80 mmH(2)O-180 mmH(2)O), and magnetic resonance imaging cerebral venography suggested thrombosis of the supratentorial sinus. These findings were considered indicative of cerebral venous sinus thrombosis due to spontaneous intracranial hypotension syndrome after ruling out immunological causes, tumor, infection, abnormal coagulation mechanism, and hypercoagulable state, etc. She was treated with rehydration and low-molecular heparin anticoagulation for 15 d, and follow-up magnetic resonance imaging cerebral venography suggested resolution of the thrombus. The patient had complete improvement of her headache symptoms. CONCLUSION: Spontaneous intracranial hypotension syndrome is one of the rare causes of cerebral venous sinus thrombosis, which is frequently misdiagnosed or missed and deserves consideration by clinicians during differential diagnosis. Dehydration should be avoided in such patients, and early rehydration and anticoagulation therapy are effective treatment options. Baishideng Publishing Group Inc 2023-07-06 2023-07-06 /pmc/articles/PMC10353506/ /pubmed/37469739 http://dx.doi.org/10.12998/wjcc.v11.i19.4677 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Huang, Pan
Rare cause of cerebral venous sinus thrombosis: Spontaneous intracranial hypotension syndrome: A case report
title Rare cause of cerebral venous sinus thrombosis: Spontaneous intracranial hypotension syndrome: A case report
title_full Rare cause of cerebral venous sinus thrombosis: Spontaneous intracranial hypotension syndrome: A case report
title_fullStr Rare cause of cerebral venous sinus thrombosis: Spontaneous intracranial hypotension syndrome: A case report
title_full_unstemmed Rare cause of cerebral venous sinus thrombosis: Spontaneous intracranial hypotension syndrome: A case report
title_short Rare cause of cerebral venous sinus thrombosis: Spontaneous intracranial hypotension syndrome: A case report
title_sort rare cause of cerebral venous sinus thrombosis: spontaneous intracranial hypotension syndrome: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353506/
https://www.ncbi.nlm.nih.gov/pubmed/37469739
http://dx.doi.org/10.12998/wjcc.v11.i19.4677
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