Journal of Nepal Medical Association (Dec 2021)

Dural Venous Sinus Thrombosis: A Case Report

  • Dhiraj Chaurasia,
  • Bikash Yadav,
  • Krishna Dhungana

DOI
https://doi.org/10.31729/jnma.7170
Journal volume & issue
Vol. 59, no. 244

Abstract

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Dural Venous Sinus Thrombosis is the formation of blood clot within the cerebral sinus. It is very rare case with varying clinical presentation. It has non-specific signs and symptoms ranging from headache, papilledema, seizures, focal neurological deficits and mental state changes which is caused by genetic and acquired prothrombotic states, infections, inflammatory disease and trauma. Magnetic Resonance Imaging with Magnetic Resonance Venography is the specific imaging technique for the diagnosis. We have described a case of a patient who presented with headache over the temporal and occipital region and was disoriented. The Computed Tomography, Magnetic Resonance Imaging, Magnetic Resonance Venography report revealed presence of thrombus in the transverse and sigmoid sinus with hemorrhagic infarcts. He was then treated with anticoagulants Low Molecular Weight Heparin which was further substituted by Warfarin.

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