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Cyclosporin A-related cerebral venous sinus thrombosis: A case report
Fengjuan Gao1, Jun Zhang, Fang Wang
1Department of Emergency, Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School The State Key Laboratory of Pharmaceutical Biotechnology, Nanjing University Department of Radiology, Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School, Nanjing, Jiangsu, China.
Rationale:
Cerebral venous sinus thrombosis (CVST) is a complex life-threatening condition, and its etiology is not well understood. Although oral cyclosporin A is not a common cause of the symptoms related to CVST, there is limited information available.
Patient Concerns:
In this study, we report a rare case of CVST in a 44-year-old woman with aplastic anemia, who was given cyclosporin A orally for a period of 18 months. She had experienced a headache for 20 days.
Diagnoses:
The patient was diagnosed with CVST by computed tomography venography.
Interventions:
Low molecular heparin (enoxaparin, 4000 AXaIU, subcutaneous injection, once every 12 hours) was administered for anticoagulation.
Outcomes:
The patient developed no recurrence of thrombosis during the 13-month follow-up period.
Lessons:
Clinicians should be aware of the possibility of CVST when patients are treated with cyclosporin A and have symptoms such as headaches.
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