Cerebral Venous Thrombosis: An Unexpected Complication with Cerebrospinal Fluid Leaks after a Fall in a Patient with Spinocerebellar Ataxia Type 6

A 65-year-old woman with spinocerebellar ataxia presented with generalized seizures due to subcortical hemorrhaging. Magnetic resonance imaging (MRI) revealed obstruction of the superior sagittal sinus. Despite treatment, she became comatose. MRI newly revealed subdural fluid collection and descent...

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Autores principales: Yamamoto, Yuki, Yamamoto, Nobuaki, Fujita, Koji, Fukumoto, Tatsuya, Murakami, Nagahisa, Mure, Hideo, Kanematsu, Yasuhisa, Takagi, Yasushi, Izumi, Yuishin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434543/
https://www.ncbi.nlm.nih.gov/pubmed/32238726
http://dx.doi.org/10.2169/internalmedicine.4388-20
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author Yamamoto, Yuki
Yamamoto, Nobuaki
Fujita, Koji
Fukumoto, Tatsuya
Murakami, Nagahisa
Mure, Hideo
Kanematsu, Yasuhisa
Takagi, Yasushi
Izumi, Yuishin
author_facet Yamamoto, Yuki
Yamamoto, Nobuaki
Fujita, Koji
Fukumoto, Tatsuya
Murakami, Nagahisa
Mure, Hideo
Kanematsu, Yasuhisa
Takagi, Yasushi
Izumi, Yuishin
author_sort Yamamoto, Yuki
collection PubMed
description A 65-year-old woman with spinocerebellar ataxia presented with generalized seizures due to subcortical hemorrhaging. Magnetic resonance imaging (MRI) revealed obstruction of the superior sagittal sinus. Despite treatment, she became comatose. MRI newly revealed subdural fluid collection and descent of the brainstem. Her history indicated a recent fall, prompting additional studies, which revealed lumbar fracture and cerebrospinal fluid (CSF) leaks. We performed an epidural blood patch, and her consciousness was fully restored in one month. This is the first report of cerebral venous thrombosis with CSF leaks in the lumbar region due to a fall injury.
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spelling pubmed-74345432020-08-27 Cerebral Venous Thrombosis: An Unexpected Complication with Cerebrospinal Fluid Leaks after a Fall in a Patient with Spinocerebellar Ataxia Type 6 Yamamoto, Yuki Yamamoto, Nobuaki Fujita, Koji Fukumoto, Tatsuya Murakami, Nagahisa Mure, Hideo Kanematsu, Yasuhisa Takagi, Yasushi Izumi, Yuishin Intern Med Case Report A 65-year-old woman with spinocerebellar ataxia presented with generalized seizures due to subcortical hemorrhaging. Magnetic resonance imaging (MRI) revealed obstruction of the superior sagittal sinus. Despite treatment, she became comatose. MRI newly revealed subdural fluid collection and descent of the brainstem. Her history indicated a recent fall, prompting additional studies, which revealed lumbar fracture and cerebrospinal fluid (CSF) leaks. We performed an epidural blood patch, and her consciousness was fully restored in one month. This is the first report of cerebral venous thrombosis with CSF leaks in the lumbar region due to a fall injury. The Japanese Society of Internal Medicine 2020-04-02 2020-07-15 /pmc/articles/PMC7434543/ /pubmed/32238726 http://dx.doi.org/10.2169/internalmedicine.4388-20 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yamamoto, Yuki
Yamamoto, Nobuaki
Fujita, Koji
Fukumoto, Tatsuya
Murakami, Nagahisa
Mure, Hideo
Kanematsu, Yasuhisa
Takagi, Yasushi
Izumi, Yuishin
Cerebral Venous Thrombosis: An Unexpected Complication with Cerebrospinal Fluid Leaks after a Fall in a Patient with Spinocerebellar Ataxia Type 6
title Cerebral Venous Thrombosis: An Unexpected Complication with Cerebrospinal Fluid Leaks after a Fall in a Patient with Spinocerebellar Ataxia Type 6
title_full Cerebral Venous Thrombosis: An Unexpected Complication with Cerebrospinal Fluid Leaks after a Fall in a Patient with Spinocerebellar Ataxia Type 6
title_fullStr Cerebral Venous Thrombosis: An Unexpected Complication with Cerebrospinal Fluid Leaks after a Fall in a Patient with Spinocerebellar Ataxia Type 6
title_full_unstemmed Cerebral Venous Thrombosis: An Unexpected Complication with Cerebrospinal Fluid Leaks after a Fall in a Patient with Spinocerebellar Ataxia Type 6
title_short Cerebral Venous Thrombosis: An Unexpected Complication with Cerebrospinal Fluid Leaks after a Fall in a Patient with Spinocerebellar Ataxia Type 6
title_sort cerebral venous thrombosis: an unexpected complication with cerebrospinal fluid leaks after a fall in a patient with spinocerebellar ataxia type 6
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434543/
https://www.ncbi.nlm.nih.gov/pubmed/32238726
http://dx.doi.org/10.2169/internalmedicine.4388-20
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