Clinical cases of cerebral venous thrombosis at the onset of paroxysmal conditions

Abstract

Aim. To demonstrate clinical cases of rare stroke type - cerebral venous thrombosis with paroxysmal conditions.Materials and methods. There were retrospectively analyzed medical histories of the three male patients at age of 19, 22 and 47 years old, respectively, diagnosed with venous stroke, and admitted at different time points to the Neurology Department managing acute cerebrovascular accidents.Results. Patients with subacute and acute venous stroke suffered from headache and general discomfort. Depression of consciousness and paroxysmal events were observed during acute stage of the disease. No elevated arterial blood pressure was found. Focal neurological symptoms were observed in one out of three patients manifested as aphasic disorders. Neuro-ophthalmological examination revealed signs of swelling in the optic nerve (papilledema) and retinal artery spasm. Risk factors predisposing to such pathology were revealed in each clinical case.Conclusions. Here we provided with most high-priority risk factors as well as initial clinical manifestations for developing cerebral venous thrombosis as a rather rare pathological condition. However, various issues related to it still remain and require further investigations.

Keywords

• cerebral venous thrombosis
• venous stroke
• acute symptomatic attack
• paroxysmal conditions
• thrombosis
• headache
• clinical observation