Cerebral vein thrombosis revealing Crohn’s disease

Bouomrani S,Yahyaoui S,Guermazi M,Rgaïeg N

doi:10.15761/rdi.1000153

Abstract

Cerebral vein thrombosis revealing Crohn’s disease

Highlights

Cerebral vein thrombosis (CVT) remains exceptional in inflammatory bowel disease (IBD), and cerebral venous sinus involvement in these diseases is qualified as “uncommon”
Cerebral Magnetic Resonance Imaging (MRI) as well as colonoscopy at six months were without abnormalities, and no thrombotic recurrence has been noted for two years
As rare as it is, this unusual complication of Crohn's disease (CD) deserves to be known by all health practitioners to avoid diagnostic delays and improve the prognosis that is likely to be fatal

Summary

Introduction

Recent data have demonstrated a high risk of venous thromboembolic complications in patients with inflammatory bowel disease (IBD) compared to the general population [1,2]. The incidence of these complications is estimated at 1.3-7.5% according to the series [2] and seems to be slightly more common in ulcerative colitis than Crohn's disease (CD) [3,4]. The patient had had headache, visual blur, and vomiting unimproved by symptomatic treatment She was examined by her family doctor who did not notice fever, meningeal signs, or rash. Cerebral MRI as well as colonoscopy at six months were without abnormalities, and no thrombotic recurrence has been noted for two years

Findings

Discussion

Conclusion