Multiple cerebral venous sinus thrombosis: Case report

Author Information

E. Mogere, MBChB, Resident, Department of Surgery, The Aga Khan University Hospital, Nairobi, Kenya
and D.O. Olunya, FRCS (Neurosurg), Consultant Neurosurgeon and Senior Lecturer, Department of
Surgery, The Aga Khan University Hospital

Corresponding author:

Dr. E. Mogere, P.O. Box 30270-00100, Nairobi, Kenya, Email: edwin.mogere@akhskenya.org

Summary

Cerebral venous thrombosis (CVT) is an uncommon clinical problem and can be characterised by nonspecific and common symptoms of headaches and vomiting due to the intracranial hypertension. Alternate diagnoses are entertained especially when procoagulant factors are not elicited. We present a 35 year old female, parity 2+0, gravida 3 at 8 weeks gestation who presented with headache, vomiting, photophobia and neck stiffness. The diagnostic workup and radiological findings confirmed multiple venous sinus thromboses. The case is discussed in the light of diagnostic challenge, treatment pathways and how an understanding of the basic sciences explains its clinical presentation.

The diagnosis of cerebral venous sinus thrombosis should be considered in a young patient presenting with an unusual headache in the absence the usual vascular risk factors.

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