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Dangerous Headache: A Case of Dural Venous Sinus Thrombosis with Protein S Deficiency

M Hari Kumar1, D Angeline Deepthi2, Deepak Ningombam Singh3

  • 1Senior Lecturer, Department of Oral Medicine and Radiology, Saveetha Dental College & Hospital, Saveetha University , Chennai, Tamil Nadu, India .

Journal of Clinical and Diagnostic Research : JCDR
|March 10, 2017
PubMed

Insights

Dural venous sinus thrombosis (DVST), a rare headache cause, can stem from maxillary sinusitis. This case highlights DVST management in a patient with protein S deficiency.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Infectious Disease

Background:

  • Dural Venous Sinus Thrombosis (DVST) is an uncommon cause of headaches.
  • Maxillary sinusitis is a rare but documented predisposing factor for DVST.
  • Orbital complications can arise from sinusitis via venous connections.

Observation:

  • A clinical case of DVST is presented.
  • The patient exhibited protein S deficiency, a thrombophilia.
  • Maxillary sinusitis was identified as a potential initiating factor.

Findings:

  • The study details the presentation and diagnosis of DVST.
  • Protein S deficiency was confirmed as a comorbidity.
  • An effective management strategy for this specific DVST case was outlined.

Implications:

  • This case underscores the importance of considering DVST in patients with sinusitis and headache.
  • Identifying underlying thrombophilias like protein S deficiency is crucial for management.
  • Effective DVST management protocols can improve patient outcomes.
Keywords:
ArteriovenousMagnetic resonance venographyVisual analogue scale

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