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Case Report: Cerebral Venous Thrombosis Due to Antiphospholipid Syndrome Present as Subarachnoid Haemorrhage
Subject area: Biological & Medical Sciences · Area of research: Neuromedicine
Abstract
Cerebral venous thrombosis (CVT), also known as cerebral venous sinus thrombosis (CVST), is an uncommon but it responsible for 0.5% of all stroke cases, and usually it affects young female. Most cases of CVT present with headache also seizure and motor weakness 48-year-old female, housewife , presented to AL–Ehsan Hospital with with gradual onset, progressive headache one week prior to admission, associated with frequent vomiting for the last three days -. On examination, GCS was 14\15 (E4V5M6), chest was clear , and abdomen was soft. She had right sided upper motor neuron facial nerve palsy. Power of right side upper and lower was 3\5 with hypotonia and hyporeflexia , with impaired swallowing test. patient was sent for non- contrast CT brain which revealed subarachnoid haemorrhage with dense sagittal and transverse sinuses on MRV. IgM ACL antibodies was elevated .On background of dural sinus thrombosis, antiphosolipid syndrome was diagnosed. Patient Patient condition improved, vomiting stop, headache subsided, swallowing became normal, and NG tube was removed. Patient start oral intake smoothly and discharged after 14 days on good condition Enoxaparin 80 mg SC OD was initiated for seven days , then on day 8 enoxaparin was increased to 80 mg SC BD for further seven days We have to put in mind that CVT may presents atypically as SAH and risk factor must be searched to prevent further attacks of thrombosis.
Keywords
cerebral venous thrombosis; subarachnoid haemorrhage; antiphospholipid syndrome, antiphospholipid syndrome, cerebral venous thrombosis, subarachnoid haemorrhage.
How to cite this paper
@article{1722481,
author = {Dr. Mohammed Makkawi},
title = {Case Report: Cerebral Venous Thrombosis Due to Antiphospholipid Syndrome Present as Subarachnoid Haemorrhage},
journal = {Iconic Research And Engineering Journals},
year = {2026},
volume = {10},
number = {2},
pages = {2649-2651},
issn = {2456-8880},
url = {https://www.irejournals.com/formatedpaper/1722481.pdf},
abstract = {Cerebral venous thrombosis (CVT), also known as cerebral venous sinus thrombosis (CVST), is an uncommon but it responsible for 0.5% of all stroke cases, and usually it affects young female. Most cases of CVT present with headache also seizure and motor weakness 48-year-old female, housewife , presented to AL–Ehsan Hospital with with gradual onset, progressive headache one week prior to admission, associated with frequent vomiting for the last three days -. On examination, GCS was 14\15 (E4V5M6), chest was clear , and abdomen was soft. She had right sided upper motor neuron facial nerve palsy. Power of right side upper and lower was 3\5 with hypotonia and hyporeflexia , with impaired swallowing test. patient was sent for non- contrast CT brain which revealed subarachnoid haemorrhage with dense sagittal and transverse sinuses on MRV. IgM ACL antibodies was elevated .On background of dural sinus thrombosis, antiphosolipid syndrome was diagnosed. Patient Patient condition improved, vomiting stop, headache subsided, swallowing became normal, and NG tube was removed. Patient start oral intake smoothly and discharged after 14 days on good condition Enoxaparin 80 mg SC OD was initiated for seven days , then on day 8 enoxaparin was increased to 80 mg SC BD for further seven days We have to put in mind that CVT may presents atypically as SAH and risk factor must be searched to prevent further attacks of thrombosis.},
keywords = {cerebral venous thrombosis; subarachnoid haemorrhage; antiphospholipid syndrome, antiphospholipid syndrome, cerebral venous thrombosis, subarachnoid haemorrhage.},
month = {August},
}