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Cerebral Venous Sinus Thrombosis in a Patient with Ulcerative Colitis Flare
L M Conners1, R Ahad2, P H Janda1
1Department of Neurology, Valley Hospital Medical Center, Las Vegas, NV, USA.
Insights
Patients with inflammatory bowel disease (IBD) have an increased risk of cerebral venous sinus thrombosis (CVST). Early diagnosis of CVST in IBD patients is critical for better outcomes.
Area of Science:
- Gastroenterology
- Neurology
- Hematology
Background:
- Inflammatory bowel disease (IBD) involves chronic inflammation, leading to hypercoagulable states.
- Cerebral venous sinus thrombosis (CVST) is a rare but serious complication of IBD.
- Delayed CVST diagnosis in IBD patients is linked to increased morbidity and mortality.
Abstract:
Inflammatory bowel disease is characterized by a chronic inflammatory state and is therefore associated with abnormalities in coagulation and a hypercoagulable state. Cerebral venous sinus thrombosis is a rare complication of inflammatory bowel disease yet contributes significant morbidity and mortality to those affected. Early diagnosis is critical, as a delay in diagnosis portends a worse prognosis. This paper seeks to highlight the increased risk of venous sinus thrombosis in patients with inflammatory bowel disease. We start by discussing the case of a seventeen-year-old female who presented with ulcerative colitis flare and developed new-onset seizures, found to be caused by a large venous sinus thrombosis.
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