Intracranial sinus venous thrombosis in ulcerative colitis. Report of one case

Intracranial sinus venous thrombosis (ICSVT) is a rare complication of ulcerative colitis that affects from 1.7 to 7.5% of patients. We report a 22 year-old male with ulcerative colitis in treatment with mesalazine and prednisone presenting with headache and speech disturbances. A magnetic resonance...

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Bibliographic Details
Published in:Revista medíca de Chile 2015-04, Vol.143 (4), p.520-524
Main Authors: Calcagno, Gerardo Pérez, Bagattini, Juan Carlos, Forster, Thaïs A, Chiarella, Marcelo, Cohen, Henry
Format: Article
Language:Spanish
Subjects:
Anti-Inflammatory Agents - therapeutic use
Anticoagulants - therapeutic use
Cerebral Infarction - diagnosis
Colitis, Ulcerative - complications
Colitis, Ulcerative - drug therapy
Enoxaparin - therapeutic use
Headache - drug therapy
Headache - etiology
Humans
Male
Mesalamine - therapeutic use
Prednisone - therapeutic use
Sinus Thrombosis, Intracranial - diagnosis
Sinus Thrombosis, Intracranial - drug therapy
Sinus Thrombosis, Intracranial - etiology
Speech Disorders - drug therapy
Speech Disorders - etiology
Young Adult
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Summary:Intracranial sinus venous thrombosis (ICSVT) is a rare complication of ulcerative colitis that affects from 1.7 to 7.5% of patients. We report a 22 year-old male with ulcerative colitis in treatment with mesalazine and prednisone presenting with headache and speech disturbances. A magnetic resonance imaging of the brain showed a left temporal hemorrhagic infarct with thrombosis of the ispilateral superficial vein and sigmoid venous sinus. No cause of thrombophilia was detected. Anticoagulation with heparin was started which was changed to oral anticoagulation with warfarin. The patient was discharged ten days after admission.
ISSN:0717-6163
DOI:10.4067/S0034-98872015000400015