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Tuberculosis: an uncommon cause of cerebral venous thrombosis? Tuberculose: uma causa rara de trombose venosa cerebral?

Several infectious etiologies are related to cerebral venous thrombosis (CVT), but a review of literature showed only few cases related to tuberculosis (TB), and only one with neurological manifestations.We report an unusual case of CVT related to TB and mutation in prothrombin gene. A 38-man black...

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Published in:Arquivos de neuro-psiquiatria 2005-09, Vol.63 (3b), p.852-854
Main Authors: José Antonio Fiorot Júnior, André Carvalho Felício, Márcia Mauimi Fukujima, Celso Arraes Rodrigues, Vânia Maria Morelli, Dayse Maria Lourenço, Gilmar Fernandes do Prado
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container_issue 3b
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container_title Arquivos de neuro-psiquiatria
container_volume 63
creator José Antonio Fiorot Júnior
André Carvalho Felício
Márcia Mauimi Fukujima
Celso Arraes Rodrigues
Vânia Maria Morelli
Dayse Maria Lourenço
Gilmar Fernandes do Prado
description Several infectious etiologies are related to cerebral venous thrombosis (CVT), but a review of literature showed only few cases related to tuberculosis (TB), and only one with neurological manifestations.We report an unusual case of CVT related to TB and mutation in prothrombin gene. A 38-man black presented abrupt right hemiparestesis, and hemiparesis. Investigations revealed CVT. Cerebral spinal fluid (CSF) examination evidenced a infection by Mycobacterium. He was heterozygous for G20210A prothrombin mutation. Probably, hypercoagulability mechanisms of TB, added to mutation of prothrombim gene increase the risk of CVT.As mais variadas etiologias infecciosas estão relacionadas a trombose venosa cerebral (TVC), mas revisando-se a literatura há apenas poucos relatos de casos que se devem à tuberculose (TB), sendo que em apenas um deles havia manifestações no sistema nervoso central.Relatamos um caso de TVC associado a TB e a mutação do gene da protrombina. Homem 38 anos, negro, apresentou hemiparestesia de instalação súbita à direita, evoluindo com hemiparesia homolateral. Durante a internação, foi coletado líquor que evidenciou infecção por micobactéria. A pesquisa de trombofilias mostrou positividade somente para mutação do gene da protrombina(G20210A). Provavelmente os mecanismos de hipercoagulabilidade intrínsecos à tuberculose somados à mutação do gene da protrombina, potencializam o risco de TVC.
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Tuberculose: uma causa rara de trombose venosa cerebral?</title><source>SciELO Brazil</source><creator>José Antonio Fiorot Júnior ; André Carvalho Felício ; Márcia Mauimi Fukujima ; Celso Arraes Rodrigues ; Vânia Maria Morelli ; Dayse Maria Lourenço ; Gilmar Fernandes do Prado</creator><creatorcontrib>José Antonio Fiorot Júnior ; André Carvalho Felício ; Márcia Mauimi Fukujima ; Celso Arraes Rodrigues ; Vânia Maria Morelli ; Dayse Maria Lourenço ; Gilmar Fernandes do Prado</creatorcontrib><description>Several infectious etiologies are related to cerebral venous thrombosis (CVT), but a review of literature showed only few cases related to tuberculosis (TB), and only one with neurological manifestations.We report an unusual case of CVT related to TB and mutation in prothrombin gene. A 38-man black presented abrupt right hemiparestesis, and hemiparesis. Investigations revealed CVT. Cerebral spinal fluid (CSF) examination evidenced a infection by Mycobacterium. 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source SciELO Brazil
subjects cerebral venous thrombosis
mutação do gene da protrombina
prothrombin gene mutation
trombose venosa cerebral
tuberculose
tuberculosis
title Tuberculosis: an uncommon cause of cerebral venous thrombosis? Tuberculose: uma causa rara de trombose venosa cerebral?
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