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Volume : 22 Issue : 4 Year : 2016

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Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: A Rare Case [Turk J Neurol]
Turk J Neurol. 2016; 22(4): 188-191 | DOI: 10.4274/tnd.65471  

Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: A Rare Case

Deepak Jain, Ashima Mittal
Pandit Bhagwat Dayal Sharma University of Health Sciences, Department of Medicine, Rohtak, India

A married woman aged 31 years who was a vegetarian presented with symptoms of fever with orthostatic throbbing headache, which she had for 7 days. Lumber puncture with manometry showed a low pressure of 40 mmH2O. Magnetic resonance imaging of the brain showed prominent bilateral symmetric pachymeningeal enhancement with prominent engorged venous sinuses suggestive of intracranial hypotension syndrome. Magnetic resonance venography showed non-visualization of the left transverse and sigmoid sinus suggestive of cortical venous thrombosis. Spontaneous intracranial hypotension, though rare is a real risk factor for cortical venous thrombosis. A high degree of suspicion is needed for a timely diagnosis.

Keywords: Intracranial hypotension syndrome, cortical venous thrombosis, orthostatic headache


İntrakranyal Hipotansiyon Sendromunun Eşlik Ettiği Kortikal Venöz Tromboz: Nadir Bir Olgu

Deepak Jain, Ashima Mittal
Pandit Bhagwat Dayal Sharma University of Health Sciences, Department of Medicine, Rohtak, India

Otuz bir yaşında, evli, vejetaryen kadın hasta 7 gündür devam eden ortostatik zonklayıcı baş ağrısı ve yüksek ateş yakınmaları ile başvurdu. Lomber ponksiyonunda manometri ile ölçülen açılış basıncı düşük saptandı (40 mmH2O). Beyin manyetik rezonans görüntülemesinde intrakranyal hipotansiyon sendromunu düşündüren venöz sinüslerde belirgin angorjman ile bilateral, simetrik belirgin pakimeningeal kontrastlanma izlendi. Manyetik rezonans venografide kortikal venöz trombozu düşündüren sol transvers ve sigmoid sinüsün görüntülenemediği izlendi. Spontan intrakranyal hipotansiyon, nadir olsa da, kortikal venöz tromboz için gerçek bir risk faktörüdür. Zamanında tanı için yüksek derecede şüphe gereklidir.

Anahtar Kelimeler: İntrakranyal hipotansiyon sendromu, kortikal venöz tromboz, ortostatik baş ağrısı


Deepak Jain, Ashima Mittal. Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: A Rare Case. Turk J Neurol. 2016; 22(4): 188-191

Corresponding Author: Deepak Jain, India


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