Isolated Cortical Venous Thrombosis Associated With Intracranial Hypotension Syndrome

The association of intracranial hypotension syndrome with cerebral venous thrombosis is rare. We report our experience with isolated cortical venous thrombosis, which developed after unsuccessful epidural anesthesia. Magnetic resonance imaging showed characteristic imaging findings of intracranial h...

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Bibliographic Details
Published in:Headache 2009-06, Vol.49 (6), p.916-919
Main Authors: Albayram, Sait, Kara, Batuhan, Ipek, Hamiyet, Ozbayrak, Mustafa, Kantarci, Fatih
Format: Article
Language:English
Subjects:
Adult
Anesthesia, Epidural - adverse effects
Anticoagulants - therapeutic use
Biological and medical sciences
Blood Patch, Epidural
Brain - blood supply
Brain - pathology
Brain - physiopathology
Brain Infarction - etiology
Brain Infarction - pathology
Brain Infarction - physiopathology
Cerebral Hemorrhage - etiology
Cerebral Hemorrhage - pathology
Cerebral Hemorrhage - physiopathology
Cerebral Veins - pathology
Cerebral Veins - physiopathology
Cesarean Section
cortical venous thrombosis
Cranial Sinuses - pathology
Cranial Sinuses - physiopathology
Dura Mater - pathology
Dura Mater - physiopathology
epidural anesthesia
Female
Headache - etiology
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
intracranial hypotension
Intracranial Hypotension - complications
Intracranial Hypotension - physiopathology
Magnetic Resonance Imaging
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Seizures - etiology
Spinal Puncture - adverse effects
Treatment Outcome
Vascular diseases and vascular malformations of the nervous system
Venous Thrombosis - etiology
Venous Thrombosis - pathology
Venous Thrombosis - physiopathology
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Description
Summary:The association of intracranial hypotension syndrome with cerebral venous thrombosis is rare. We report our experience with isolated cortical venous thrombosis, which developed after unsuccessful epidural anesthesia. Magnetic resonance imaging showed characteristic imaging findings of intracranial hypotension syndrome, such as dural thickening and brain sagging. We also detected right parietal venous hemorrhagic infarction secondary to right‐sided cortical venous thrombosis. After the treatment of intracranial hypotension via epidural blood patch, heparin was used to treat cortical venous thrombosis.
ISSN:0017-8748
1526-4610
DOI:10.1111/j.1526-4610.2009.01398.x