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Cerebral venous thrombosis in ulcerative colitis
A K Srivastava1, N Khanna, V Sardana
1Department of Neurology, Neurosciences Center, All India Institute of Medical Sciences, New Delhi, 110029, India.
Neurology India
|July 23, 2002
Summary
Cerebral venous thrombosis is a rare complication of ulcerative colitis. This case highlights successful treatment with low molecular weight heparin and steroids for a young male patient.
Area of Science:
- Neurology
- Gastroenterology
- Hematology
Background:
- Ulcerative colitis (UC) is a chronic inflammatory bowel disease.
- Cerebral venous thrombosis (CVT) is an uncommon but serious complication.
- The association between UC and CVT requires further investigation.
Observation:
- A 29-year-old male with ulcerative colitis presented with symptoms suggestive of CVT.
- Cranial imaging confirmed thrombosis in the superior sagittal, left lateral, and sigmoid sinuses.
- The patient had no other identifiable risk factors for thrombosis.
Findings:
- The patient was diagnosed with extensive cerebral venous thrombosis.
- Cerebral venous thrombosis was considered secondary to active ulcerative colitis.
- Successful treatment was achieved using low molecular weight heparin and corticosteroids.
Implications:
- This case underscores the importance of considering CVT in UC patients presenting with neurological symptoms.
- Early diagnosis and prompt anticoagulation are crucial for favorable outcomes in UC-associated CVT.
- Further research is warranted to elucidate the underlying mechanisms linking UC and CVT.