Isolated cortical venous thrombosis after fetal demise

BMJ Case Rep. 2019 Apr 29;12(4):e228484. doi: 10.1136/bcr-2018-228484.

Abstract

Isolated cortical venous thrombosis (ICVT) occurring in the absence of dural venous thrombosis, constitutes about 2%-5% of all cerebral venous thrombosis. Its vague, non-specific presentation makes it a difficult and challenging diagnosis that needs an extensive workup especially in young patients. Outcome and prognosis depend mainly on early diagnosis and treatment. Here we discuss the clinical presentation, diagnosis and the treatment of a young woman diagnosed with ICVT with acute ischaemic venous stroke, in the setting of eclampsia and family history of coagulation disease.

Keywords: Haematology (drugs And Medicines); Pregnancy; Venous Thromboembolism.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anticoagulants / administration & dosage
  • Anticoagulants / therapeutic use
  • Female
  • Fetal Death
  • Humans
  • Intracranial Thrombosis / complications
  • Intracranial Thrombosis / diagnostic imaging
  • Intracranial Thrombosis / etiology
  • Intracranial Thrombosis / pathology*
  • Magnetic Resonance Imaging / methods
  • Phlebography / methods
  • Pregnancy
  • Rare Diseases
  • Stroke / diagnostic imaging*
  • Stroke / drug therapy
  • Stroke / etiology
  • Stroke / pathology
  • Treatment Outcome
  • Venous Thrombosis / complications
  • Venous Thrombosis / diagnostic imaging
  • Venous Thrombosis / etiology
  • Venous Thrombosis / pathology*

Substances

  • Anticoagulants