Cerebral venous thrombosis and demyelinating diseases: report of a case in a clinically isolated syndrome suggestive of multiple sclerosis onset and review of the literature.
Cerebral venous thrombosis (CVT) has been described in several cases of clinically definite multiple sclerosis (MS). In the majority of these, lumbar puncture followed by intravenous corticosteroid treatment was suspected as the cause. We report what is, to our knowledge, the first case of a patient with a multifocal clinically isolated syndrome suggestive of MS onset, who developed multiple CVT after lumbar puncture and during high-dose i.v. corticosteroid treatment We conclude that the sequence 'lumbar puncture followed by corticosteroid treatment' may be a contributory risk factor for the development of CVT when associated with other risk factors.
Maurelli
Maurizia
M
Multiple Sclerosis Centre, IRCCS C Mondino Institute of Neurology, Pavia, Italy. maurizia.maurelli@mondino.it
Bergamaschi
Roberto
R
Candeloro
Elisa
E
Todeschini
Alessandra
A
Micieli
Giuseppe
G
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000009:adverse effects*; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D020767:Intracranial Thrombosis / Q000209:etiology* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000150:complications* / Q000473:pathology; D013129:Spinal Puncture / Q000009:adverse effects*; D020246:Venous Thrombosis / Q000209:etiology* / Q000473:pathology
D000305:Adrenal Cortex Hormones