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Diagnostic difficulties in cerebral venous thrombosis (CVT)

Bogusław Paradowski, Ewa Koziorowska-Gawron, Edyta Kowalczyk, Wiesława Kwiatkowska, Marek Sąsiadek

CaseRepClinPractRev 2006; 7:132-134

ID: 451688

Background: Cerebral venous thrombosis (CVT) is a rare variant of brain vascular disease.
Case Report: We present a rare case of cerebral venous thrombosis (CVT) in a 29-year-old woman taking
oral contraceptives with migraine-like headaches and vomiting. Among the clinical symptoms, the following dominated: dilation of the superficial cranial veins in the temporal and parietal regions, exophthalmus of the right eye, edema of the right optic nerve disc, and right-sided pyramid paresis. Additional examination showed that the cause of CVT may be antiphospholipid syndrome (APS) or lupus erythematosus.
Conclusions: The authors highlight the diagnostic difficulties in establishing the factors of CVT risk with the easy diagnosis of CVT due to modern CT and MR imaging examinations.

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