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Hyperthyroidism as a Precipitant Factor for Cerebral Venous Thrombosis: A Case Report
Ahmed Elkhalifa Elawad Elhassan1, Mohammed Omer Khalil Ali2, Amina Bougaila2
1University of Khartoum, Khartoum, Sudan.
Journal of Investigative Medicine High Impact Case Reports
|August 14, 2020
Summary
Hyperthyroidism can precipitate cerebral venous sinus thrombosis (CVT), a rare but serious condition. This case report details a patient with uncontrolled hyperthyroidism who developed superior sagittal sinus thrombosis and recovered with anticoagulation.
Area of Science:
- Neurology
- Endocrinology
- Vascular Medicine
Background:
- Cerebral venous sinus thrombosis (CVT) is a rare cerebrovascular disorder with various known causes.
- The association between hyperthyroidism and CVT is not well-established.
- Hyperthyroidism is a condition characterized by excessive thyroid hormone production, potentially affecting coagulation.
Observation:
- A 41-year-old male with a four-year history of hyperthyroidism presented with seizures.
- Computed tomography and MR venography confirmed superior sagittal sinus thrombosis.
- Laboratory results indicated uncontrolled hyperthyroidism, with no other underlying cause identified.
Findings:
- The patient's hyperthyroidism was identified as the likely procoagulant factor leading to superior sagittal sinus thrombosis.
- Anticoagulation therapy resulted in rapid clinical improvement.
- Follow-up imaging demonstrated complete recanalization of the superior sagittal sinus within two months.
Implications:
- This case highlights hyperthyroidism as a potential, albeit uncommon, precipitant of CVT.
- Recognizing hyperthyroidism in patients with CVT may be crucial for effective management.
- Further research is warranted to elucidate the prothrombotic mechanisms linking hyperthyroidism and CVT.
Keywords:
CVTcerebral venous sinus thrombosishypercoagulable statehyperthyroidismsuperior sagittal sinus thrombosisMore Related Videos
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