Cerebral venous thrombosis. A real issue for the emergency department

Laín Terés N, Julián Jiménez A, Del Arco Galán C, Núñez Acebes AB, Barrero Raya C, Aguilar Florit JL, Crespo Moreno R

Cerebral venous sinus thrombosis is a seldom-diagnosed entity, which

was initially considered to bear a fatal prognosis. The introduction of

modern neuroimaging techniques, mainly magnetic nuclear resonance

(MNR) imaging and/or CT scan and/or MNR imaging angiography, have

demonstrated that this condition is quite more frequent than previously

thought and also that it bears a favourable prognosis in most cases in adeauate

management is provided. We here report the case of one female patient

under oral contraceptive therapy who consulted at the Emergency Outpatient

Clinic because of caphalea and was diagnosed of superior

longitudinal and straight sinus venosus thrombosis through emergency CT

scan and angio-CT scan. Anticoagulation therapy was thereupon initiated

with intravenous heparin sodium, with a favourable evolution and outcome.

Based on this case, a bibliographic review of cerebral venous thrombosis,

its diagnosis and its controverted therapy is carried out.

Aguilar Florit JL, Barrero Raya C, Crespo Moreno R, Del Arco Galán C, Julián Jiménez A, Laín Terés N, Núñez Acebes AB