Abstract

A Case Report on Atypical Presentation of Cerebral Venous Sinus Thrombosis, a Young Adult with Recurrent Fall: A Clinical Quandary

Highlights

  • We discussed a rare presentation of Cerebral Venous Sinus Thrombosis (CVST), a 16-year-old young boy who presented in emergency with history recurrent fall, weakness, tingling numbness

  • CSVT is considered more commonly as a differential diagnosis of stroke in young age group owning to genetic predisposition, hot humid climate of the state leading to severe dehydration, dietary factors leading to vitamin B12 deficiency & hyper-homocysteinemia etc

  • Patient was managed with low molecular weight heparin, oral anti-coagulant, anti-epileptic drugs, Tab Homochek containing multivitamins & minerals, intravenous fluids

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Summary

Introduction

Cerebral Venus Sinus Thrombosis (CVST) is a presence of blood clot in the dur-. The clot keeps the blood from draining out of the brain and as a result of which pressure builds up inside the blood vessels and this can lead to swelling, bleeding in the brain. Cerebral venous thrombosis is a rare stroke presentation in general population affecting mostly young individuals [1] and often turns out to be fatal if not diagnosed early. CVST most commonly presents with severe headache, approximately in 90% of cases [2]. The incidence of cerebral venous thrombosis (CVT) is estimated at 0.2 to 0.5 per 100,000 population per year [3]. Ameri and bousser found a female to male ratio of 1.29:1 [4]

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