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Acute subarachnoid hemorrhage: An unusual clinical presentation of cerebral venous sinus thrombosis
Ruptured cerebral aneurysm is the most common cause of spontaneous subarachnoid hemorrhage (SAH). Rarely cerebral venous sinus thrombosis (CVST) may present initially as acute SAH, and clinically mimics aneurysmal bleed. We report 2 cases of CVST who presented with severe headache associated with ne...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Riyadh : Armed Forces Hospital
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727609/ https://www.ncbi.nlm.nih.gov/pubmed/25630784 |
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author | Hassan, Ali Ahmad, Bakhtiar Ahmed, Zahoor Al-Quliti, Khalid W. |
author_facet | Hassan, Ali Ahmad, Bakhtiar Ahmed, Zahoor Al-Quliti, Khalid W. |
author_sort | Hassan, Ali |
collection | PubMed |
description | Ruptured cerebral aneurysm is the most common cause of spontaneous subarachnoid hemorrhage (SAH). Rarely cerebral venous sinus thrombosis (CVST) may present initially as acute SAH, and clinically mimics aneurysmal bleed. We report 2 cases of CVST who presented with severe headache associated with neck pain and focal seizures. Non-contrast brain CT showed SAH, involving the sulci of the convexity of hemisphere (cSAH) without involving the basal cisterns. Both patients received treatment with anticoagulants and improved. Awareness of this unusual presentation of CVST is important for early diagnosis and treatment. The purpose of this paper is to emphasize the inclusion of vascular neuroimaging like MRI with venography or CT venography in the diagnostic workup of SAH, especially in a patient with strong clinical suspicion of CVST or in a patient where neuroimaging showed cSAH. |
format | Online Article Text |
id | pubmed-4727609 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Riyadh : Armed Forces Hospital |
record_format | MEDLINE/PubMed |
spelling | pubmed-47276092016-02-02 Acute subarachnoid hemorrhage: An unusual clinical presentation of cerebral venous sinus thrombosis Hassan, Ali Ahmad, Bakhtiar Ahmed, Zahoor Al-Quliti, Khalid W. Neurosciences (Riyadh) Case Report Ruptured cerebral aneurysm is the most common cause of spontaneous subarachnoid hemorrhage (SAH). Rarely cerebral venous sinus thrombosis (CVST) may present initially as acute SAH, and clinically mimics aneurysmal bleed. We report 2 cases of CVST who presented with severe headache associated with neck pain and focal seizures. Non-contrast brain CT showed SAH, involving the sulci of the convexity of hemisphere (cSAH) without involving the basal cisterns. Both patients received treatment with anticoagulants and improved. Awareness of this unusual presentation of CVST is important for early diagnosis and treatment. The purpose of this paper is to emphasize the inclusion of vascular neuroimaging like MRI with venography or CT venography in the diagnostic workup of SAH, especially in a patient with strong clinical suspicion of CVST or in a patient where neuroimaging showed cSAH. Riyadh : Armed Forces Hospital 2015-01 /pmc/articles/PMC4727609/ /pubmed/25630784 Text en Copyright: © Neurosciences Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. |
spellingShingle | Case Report Hassan, Ali Ahmad, Bakhtiar Ahmed, Zahoor Al-Quliti, Khalid W. Acute subarachnoid hemorrhage: An unusual clinical presentation of cerebral venous sinus thrombosis |
title | Acute subarachnoid hemorrhage: An unusual clinical presentation of cerebral venous sinus thrombosis |
title_full | Acute subarachnoid hemorrhage: An unusual clinical presentation of cerebral venous sinus thrombosis |
title_fullStr | Acute subarachnoid hemorrhage: An unusual clinical presentation of cerebral venous sinus thrombosis |
title_full_unstemmed | Acute subarachnoid hemorrhage: An unusual clinical presentation of cerebral venous sinus thrombosis |
title_short | Acute subarachnoid hemorrhage: An unusual clinical presentation of cerebral venous sinus thrombosis |
title_sort | acute subarachnoid hemorrhage: an unusual clinical presentation of cerebral venous sinus thrombosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727609/ https://www.ncbi.nlm.nih.gov/pubmed/25630784 |
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