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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
Insights
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.
Abstract:
Cerebral venous thrombosis is a rare complication of ulcerative colitis. We report a case of 29 year old male who developed superior sagittal, left lateral and sigmoid sinus thrombosis secondary to ulcerative colitis. He was successfully treated with low molecular weight heparin and steroids.