Document Detail


Headache Due to Spontaneous Intracranial Hypotension and Subsequent Cerebral Vein Thrombosis.
MedLine Citation:
PMID:  23046074     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Cerebral vein thrombosis (CVT) is a rare complication of spontaneous intracranial hypotension (SIH). When to suspect a thrombotic disorder during the course of intracranial hypotension is not fully elucidated. A 48-year-old woman was admitted because of SIH with no signs of CVT on neuroimaging. The occurrence of diplopia and blurred vision 12 days later led to the performance of further investigations, which revealed thrombosis of the left lateral sinus, in the absence of variations in the headache characteristics. Among the other 4 cases of SIH clearly preceding the occurrence of CVT reported so far, only one had a change in the headache pattern related to CVT development. Although a change in the characteristics of headache is considered a marker of CVT in patients with SIH, this is not invariably part of the clinical scenario. Any new neurologic finding on exam in the disease course should raise a suspicion of venous thrombosis, thus prompting further specific investigations.
Authors:
Paolo Costa; Elisabetta Del Zotto; Alessia Giossi; Irene Volonghi; Loris Poli; Michele Frigerio; Alessandro Padovani; Alessandro Pezzini
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-9
Journal Detail:
Title:  Headache     Volume:  -     ISSN:  1526-4610     ISO Abbreviation:  Headache     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985091R     Medline TA:  Headache     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 American Headache Society.
Affiliation:
From the Dipartimento di Scienze Mediche e Chirurgiche, Clinica Neurologica, Università degli Studi di Brescia, Brescia, Italy (P. Costa, A. Giossi, I. Volonghi, L. Poli, A. Padovani, and A. Pezzini); U.O Neurologia Vascolare, Stroke Unit, Spedali Civili, Brescia, Brescia, Italy (E. Del Zotto); Dipartimento di Diagnostica per Immagini, Neuroradiologia, Università degli Studi di Brescia, Brescia, Italy (M. Frigerio).
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