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Dural Venous Sinus Thrombosis: A Case Report
Dhiraj Chaurasia1, Bikash Yadav1, Krishna Dhungana2
1Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
JNMA; Journal of the Nepal Medical Association
|February 24, 2022
Summary
Dural venous sinus thrombosis (DVST) is a rare condition involving blood clots in brain sinuses. Prompt diagnosis via MRI/MRV and anticoagulant treatment are crucial for managing this condition.
Area of Science:
- Neurology
- Radiology
- Hematology
Background:
- Dural Venous Sinus Thrombosis (DVST) is a rare cerebrovascular condition characterized by blood clot formation within the dural venous sinuses.
- DVST presents with non-specific symptoms including headache, seizures, and neurological deficits, often mimicking other neurological disorders.
- Risk factors encompass genetic/acquired prothrombotic states, infections, inflammatory conditions, and trauma.
Observation:
- A case study of a patient presenting with temporal/occipital headache and disorientation is detailed.
- Initial diagnostic imaging included Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and Magnetic Resonance Venography (MRV).
Findings:
- Imaging revealed a thrombus in the transverse and sigmoid sinuses.
- Hemorrhagic infarcts were identified in conjunction with the sinus thrombosis.
- Magnetic Resonance Venography confirmed the diagnosis, highlighting its specificity for DVST.
Implications:
- Early diagnosis of DVST is critical for effective management and preventing complications.
- Anticoagulant therapy, initiated with Low Molecular Weight Heparin and transitioned to Warfarin, demonstrated treatment efficacy.
- This case underscores the importance of advanced imaging techniques in diagnosing rare neurological conditions like DVST.
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