2013, Number 4
<< Back Next >>
Arch Neurocien 2013; 18 (4)
Cerebral venous thrombosis in the antiphospholipid syndrome
Padilla-Vázquez F, Escobar-de la Garma VH, Ayala-Arcipreste A, Acosta-Garcés R, Melo-Guzmán G, Mendizábal-Guerra R, Pérez-Morales OA, Rosas MI
Language: Spanish
References: 15
Page: 204-210
PDF size: 268.30 Kb.
ABSTRACT
We report a case of a female patient of 28 years, diagnosed with antiphospholipid syndrome, who starts his current
condition with incapacitating headache, disorientation, motor transcortical aphasia and bilateral papilledema, who
introduced evolution with cerebral venous thrombosis. We review the literature of cerebral venous thrombosis as
well as their imaging data. The antiphospholipid syndrome (APS), is an autoimmune disease, multisystemic which
affects multiple organs and systems. The cerebral venous thrombosis (TVC), is frecuent in APS, it is more common
in women than in men, (3-1), which is related in many occasions with the pregnancy, puerperium and use of oral
contraceptives. Usually start subacute (42 %), presenting a triad of intracranial hypertension (headache, vomiting,
and papilledema), as well as focal syndromes such as seizures and focal neurological deficits. The headache is the
most common symptom, occurring in 80% of the patients.
REFERENCES
Hajialito M. Thrombolytic therapy for cerebral vein thrombosis in antiphospholipid síndrome secundary to systemic lupus erythematosus. Iran J Med Sci 2012;(37):1.
Wasay M, Bakshi R, Kojan S. Comparación no aleatorizada de la trombolisis uroquinasa local frente a anticoagulación con heparina sistémica para el superior, trombosis del seno sagital. Stroke 2001;32:2310-7.
Chen Jian-hua. Development of cerebral venous sinus thrombosis in an aplastic anemia patient with antiphospholipid syndrome. Clin Med J 2010;123(17):2486-8.
Cristiano Tanislav, Ralf Sieknanm, Nicole Sieweke. Cerebral vein thrombosis: clinical manifestation and diagnosis. BMC Neurol 2011;11:69.
Surendrababu NR, Subathira, Livingstone RS. Variations in the cerebral venous anatomy and pitfalls in the diagnosis of cerebral venous sinus thrombosis: low field MR experience. Indian J Med Sci 2006; 60 (4): 135-42.
Ferro JM, Can Hao P, Stand, Bousser MG, Barigarrementeria F, ISCVT investigators. Prognosis of cerebral vein and dural sinus thrombosis:results of the international study on cerebral vein and dural sinus thrombosis. Stroke 2004;35(3):664-70.
Rodallec MH, Krainik A, Feydy A. Cerebral venous thrombosis and multidetector CT angiography: tips and tricks. Radiographics 2006;26:55-518.
Rollins N, Ison C, Reyes T, Chia J. Cerebral MR venography in children: comparison 2D time of flight and gadolinium. Enhaced 3D gradient-Echo techniques. Radiol 2005;235:1011-7.
Fitzgerald KC, Williams LS, Garg BP, Carvalho KS, Golomb MR. Cerebral sinovenous thrombosis in the neonate. Arch Neurol 2006; 63 (3): 405-9.
Todorov L, Laurito CE, Schwartz DE. Postural headache in the presence of cerebral venous sinus thrombosis. Anesth Analg 2005; 101 (5): 1499-500.
Poon Coolin S, Chang Ja K, swarkar A. Radiologic diagnosis of cerebral venous thrombosis: Pictorial Review. AJR integrative imaging. AJR 2007;189:564-75.
Monsalve GA, Ortega R, Rueda-Acevedo M. Multiple dural sinus thrombosis: a dif ferential diagnosis of a postpuncture headache in a puerperal patient. Neurol India 2006;54 (4): 447-8.
Leach JL, Fortuna RB, Jones VJ. Imaging of cerebral venous trombosis: current techniques, spectrum of finding and diagnosis pitfalls. Radiographics 2006;26:519-43
Toshiaki Kodera, Satoshi Hirose, Hiroaki Takeuchi, Ken-ichiro Kikuta. Dural sinus thrombosis with marked enlargement of the venous sinus, Neurol Med Chir (Tokyo) 2010;50;59-61.
Lin JH, Kwan SY, Wu D. Cerebral venous thrombosis initially presenting with acute subarachnoid hemorrhage. J Chin Med Assoc 2006;69(6):282-5.