Unusual presentation of cerebral venous sinus thrombosis in ulcerative colitis

Abstract

A 21-year-old young male presented with a relapse of Idiopathic Ulcerative Colitis (IUC) and developed recurrent transient weakness of left upper limb with complete recovery and headache. He also had blurring of vision and pre-syncope. The evaluation revealed Cerebral Venous Thrombosis (CVT). The attacks seized to occur after prompt anticoagulation was exhibited. The purpose of this report is to emphasize that CVT in IUC is sparsely experienced a prothrombotic complication and such CVT presenting as unilateral recurrent transient paresis or some focal deficit mimicking a Transient Ischemic Attack (TIA) / seizure is further rare albeit possible.

Keywords

• cerebral venous thrombosis
• idiopathic ulcerative colitis
• recurrent monoparesis
• seizure