Cerebral sinovenous thrombosis in a patient with transient eosinophilia

Hiroyasu Sano1, Takuya Fukuoka, Hajime Maruyama

  • 1Department of Neurology, Saitama Medical University International Medical Center, Japan.

Insights

This case report details a 67-year-old man with prostatic hypertrophy who experienced behavioral changes and fever, leading to the discovery of cerebral sinus thrombosis with transient eosinophilic leukocytosis.

Area of Science:

  • Neurology
  • Hematology
  • Radiology

Background:

  • Prostatic hypertrophy can present with varied symptoms.
  • Cerebral sinus thrombosis is a rare but serious neurological condition.
  • Eosinophilia can be associated with thrombotic events.

Observation:

  • A patient with prostatic hypertrophy developed behavioral anomalies and fever.
  • Brain MRI revealed lesions and superior sagittal sinus occlusion.
  • The patient presented with left-sided paralysis and transient eosinophilia.

Findings:

  • The case demonstrates cerebral sinus thrombosis.
  • Transient eosinophilic leukocytosis was observed.
  • This is the first reported instance of cerebral sinus thrombosis linked to transient eosinophilic leukocytosis.

Implications:

  • Highlights a novel association between cerebral sinus thrombosis and eosinophilia.
  • Suggests the need for further investigation into eosinophilia's role in thrombosis.
  • Emphasizes the importance of comprehensive diagnostic imaging in neurological presentations.

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