Cerebral venous sinus thrombosis with hemorrhagic infarct: A rare presentation in a risk-defying male patient

Shailendra Katwal; Sundar Suwal; Suman Lamichhane; Amrit Bhusal; Tek Nath Yogi

doi:10.1016/j.radcr.2023.09.096

Cerebral venous sinus thrombosis with hemorrhagic infarct: A rare presentation in a risk-defying male patient

Radiol Case Rep. 2023 Oct 28;19(1):153-157. doi: 10.1016/j.radcr.2023.09.096. eCollection 2024 Jan.

Authors

Shailendra Katwal¹, Sundar Suwal², Suman Lamichhane³, Amrit Bhusal⁴, Tek Nath Yogi⁴

Affiliations

¹ Department of Radiology, Dadeldhura Subregional Hospital, Dadeldhura, Sudurpaschim, Nepal.
² Department of Radiology, Maharajgunj Medical College, Kathmandu, Nepal.
³ Department of Radiology, Nepal A.P.F. Hospital, Kathmandu, Nepal.
⁴ Department of Surgery, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Abstract

Cerebral venous sinus thrombosis (CVST) is a rare but critical cerebrovascular condition characterized by clot formation in cerebral veins or sinuses. We present a case of a 30-year-old male with CVST, an atypical presentation of right-sided weakness and sudden loss of consciousness. While CVST typically manifests as severe headaches and neurological deficits, our patient's unique symptoms pose diagnostic challenges. Advanced imaging techniques, including MRI with venography, played a pivotal role in confirming the diagnosis. Treatment involved anticoagulation therapy and resulted in a favorable outcome. This case highlights the importance of considering CVST in patients with unusual neurological symptoms and the crucial role of early diagnosis and intervention. Advances in diagnostic modalities and treatment options have significantly improved outcomes in CVST patients, emphasizing the need for timely recognition and management.

Keywords: Case report; Cerebral venous sinus thrombosis; MRI with venography; Young patient.

Publication types

Case Reports