Cerebral venous sinus thrombosis in young alcoholic males
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Although a rare cause of stroke, cerebral venous sinus thrombosis (CVT) is associated with significant morbidity and can be a diagnostic challenge. We present a report of four such patients who presented to our department with complaints of headache and were diagnosed with CVT after extensive workup. All four patients were males, known alcoholics, between 20-50 years of age group. All had complaints of headache, nausea and confusion at the time of presentation. Three had complains of vomiting and fever. On neurological examination, all four had positive Babinski’s sign, bilaterally equally reactive to light pupils, signs of dehydration and Glasgow Coma Scale score less than 13/15. Kernig’s sign was seen only in one patient and none had any cranial nerve involvement. Coagulation profile of all patients was normal. Computed Tomography of head and Magnetic Resonance Imaging of brain revealed signs of thrombosis in varied anatomical locations. This case series concludes that young alcoholic males are prone to CVT and dehydration is associated with these patients. Transverse sinus was the most common sinus involved in our patients. Future studies should focus on understanding the correlation between alcoholism and CVT.
Authors and Affiliations
Gautami S, Manish P, Gayatri p, Smita P
Keywords
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