Document Detail

Computed tomographic evidence of an extensive thrombosis and infarction of the deep venous system.
MedLine Citation:
PMID:  8488531     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Massive bilateral infarcts due to deep venous system thrombosis are extremely rare and poorly documented. We present a case with computed tomographic evidence of both thrombosis and infarction of the whole deep venous system. CASE DESCRIPTION: A previously healthy 30-year-old woman who had taken oral contraceptives for 3 years complained of recurrent headaches and transient visual obscuration. Three months later, she suddenly became comatose and was found to have papilledema. She rapidly worsened, became decerebrate, and died within 48 hours. Noncontrast computed tomographic scan showed the spontaneous hyperdensity of the thrombosed deep veins and a massive bilateral centrobasilar hypodensity suggestive of a deep venous system infarction. CONCLUSIONS: This case shows that cerebral venous thrombosis can masquerade during 3 months as benign intracranial hypertension and then make a dramatic extension to the deep cerebral veins. It illustrates extensive thrombosis of the deep venous system as a possible cause of rapid coma and decerebration and stresses the importance of computed tomographic scan to show both the thrombosed veins and the venous infarct, which allows delineation of the deep venous system territory.
N U Rahman; A R al-Tahan
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  24     ISSN:  0039-2499     ISO Abbreviation:  Stroke     Publication Date:  1993 May 
Date Detail:
Created Date:  1993-06-07     Completed Date:  1993-06-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  744-6     Citation Subset:  IM    
Department of Neurosurgery, King Saud University, Riyadh, Saudi Arabia.
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MeSH Terms
Cerebral Infarction / complications,  radiography*
Cerebral Veins / radiography*
Headache / etiology,  radiography
Papilledema / etiology,  radiography
Thrombosis / complications,  radiography*
Tomography, X-Ray Computed

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