Abstract
Dehydration and malignancies are known as the most frequent predisposing factors of cerebral venous sinus thrombosis in older adults despite the fact that 30% of them remain idiopathic cerebral venous thrombosis (CVT) cases with no clear etiology. Cases of left sigmoid sinus involvement were rarely reported. Herein, an elderly case of sigmoid sinus thrombosis with unilateral hearing loss with chronic varicose vein in the leg was reported. Sigmoid sinus thrombosis that affects hearing is one of the rare complications of otitis media. Whether or not a large chronic varicose vein in the leg can serve as a predisposing factor for CVT requires further studies. Successful management of anticoagulant therapy prevented serious complications in the patient.
Highlights
Cerebral venous sinus thrombosis is defined as the formation of a clot in the dural venous sinuses which drain both the brain’s superficial veins and deep venous system [1]
The results suggested the likelihood of left jugular vein thrombosis
The results suggested left sigmoid sinus thrombosis and the patients was admitted to Imam Hassan Hospital
Summary
Cerebral venous sinus thrombosis is defined as the formation of a clot in the dural venous sinuses which drain both the brain’s superficial veins and deep venous system [1]. Case Presentation A 68-year-old man from one of the villages around the city of Bojnurd, North Khorasan province presenting with dizziness and nausea was referred to the hospital by a neurologist He emphasized the loss of hearing in the left ear. The development of trust led to proper communication with the patient’s wife and disclosure of symptoms which had not been previously discussed by a female therapist due to embarrassment, ignorance, or religious and cultural issues His wife reported a chronic varicose vein in the patient’s left leg that had frequently caused wounds. After gaining the patient’s trust and informing the physician (while observing the privacy of the patient), the examination was carried out and large bulging veins in the left leg and signs of a dry wound (5×5 cm) with no discharge were observed on the inner shin (Figure 2).
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