| Computed tomographic evidence of an extensive thrombosis and infarction of the deep venous system. | |
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MedLine Citation:
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PMID: 8488531 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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N U Rahman; A R al-Tahan |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Stroke; a journal of cerebral circulation Volume: 24 ISSN: 0039-2499 ISO Abbreviation: Stroke Publication Date: 1993 May |
Date Detail:
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Created Date: 1993-06-07 Completed Date: 1993-06-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0235266 Medline TA: Stroke Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 744-6 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, King Saud University, Riyadh, Saudi Arabia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cerebral Infarction / complications, radiography* Cerebral Veins / radiography* Female Headache / etiology, radiography Humans Papilledema / etiology, radiography Thrombosis / complications, radiography* Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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