[Superior sagittal sinus thrombosis caused by Crohn's disease and macrocytic anemia : a case report].
A 32-years-old man with a past history of hemorrhoids presenting with hemiparesis was diagnosed as having sagittal sinus thrombosis with hemorrtagic infarction. Laboratory data revealed macrocytic anemia (Hb 11.2 g/d/) with hypoproteinernia (5.5 g/d). After discharge the patient developed abdominal pain, diarrhea, edema in the leg and sustained anemia. Final diagnosis through colon fiberscope findings was Crohn's disease Macrocytic anemia seemed to be induced by Vit. B12 deficiency due to malabsorption. The mechanism and causal relationship between Crohn's disease and sinus thrombosis is discussed.
Osawa
Shigeyuki
S
Department of Neurosurgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa 228-8555, Japan.
Suzuki
Sachio
S
Yamada
Masaru
M
Fukushima
Yutaka
Y
Utsuki
Satoshi
S
Shimizu
Satoru
S
Kurata
Akira
A
Fujii
Kiyotaka
K
Kan
Shinichi
S
D000328:Adult; D000748:Anemia, Macrocytic / Q000150:complications* / Q000175:diagnosis; D003424:Crohn Disease / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008286:Malabsorption Syndromes / Q000150:complications; D008297:Male; D020225:Sagittal Sinus Thrombosis / Q000175:diagnosis / Q000209:etiology*; D014806:Vitamin B 12 Deficiency / Q000150:complications