Abstract
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.
Highlights
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
Cerebral venous thrombosis is an uncommon disease that presents in a non-specific pattern
We report a case of a young female who presented with non-specific symptoms and signs and managed for multiple cerebral venous sinus thrombosis
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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