Case Reports in Neurological Medicine (Jan 2013)

Cerebral Venous Thrombosis in a Patient with Clinically Isolated Spinal Cord Syndrome

  • Jasem Yousef Al-Hashel,
  • Samar Farouk Ahmed,
  • K. J. Alexnader,
  • Walaa Ahmed

DOI
https://doi.org/10.1155/2013/364869
Journal volume & issue
Vol. 2013

Abstract

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Background. The association between cerebral venous thrombosis (CVT) and multiple sclerosis (MS) has already been reported in patients with clinically definite MS in relation to intravenous methylprednisolone (IVMP) or previously performed lumbar puncture (LP). Case Summery. We report a 29-year-old Indian female who presented with a clinically isolated spinal cord syndrome according to the revised 2010 McDonald Criteria. She developed CVT after a lumbar puncture and two days of finishing the course of IVMP. Conclusion. We conclude that the sequence of doing lumbar puncture followed by high-dose IVMP may increase the risk of CVT. A prophylactic anticoagulation may be indicated in this setting.