Cerebral Venous Sinus  Thrombosis–Neuropsychiatric  Manifestation–A Case Report

P Jasmine kalyani; V Sriramakrishnan; C. Rachel

Volume : II, Issue : X, October - 2013

Cerebral Venous Sinus Thrombosis–Neuropsychiatric Manifestation–A Case Report

P Jasmine Kalyani, V Sriramakrishnan, C. Rachel

Abstract :

Cereal venous sinus thrombosis (CVT) is clinically challenging and mimics many neurological conditions such as meningitis, encephalopathy, benign intracranial hypertension, and stroke. With increasing awareness, CVT cases are now being diagnosed more frequently. Newer imaging procedures have led to easier recognition of venous sinus thrombosis, offering the opportunity for early therapeutic measures. It may be difficult to diagnose it on clinical grounds alone. Headache is the most frequent symptom in patients with CVT, present in about 80% of cases. Subarachnoid hemorrhage (SAH) has been described, as the presenting event with CVT. Patients may have seizures that can be recurrent. Cranial nerve dysfunction is seen with venous sinus thrombosis. Most often it occurs within two weeks of delivery but can occur in the antenatal period also. Psychiatric disturbances are sometimes the presenting symptoms. We are presenting a postpartum patient who presented with psychiatric manifestations and later found to have transverse and sigmoid sinus thrombosis.