title: Cerebral venous thrombosis in ulcerative colitis.
abstract: Ulcerative colitis has been reported to show hyper coagulation leading to peripheral and rarely central thrombosis. A 35-year-old female was admitted with chief complaints of increased frequency of bloody diarrhea, abdominal pain, and weight loss for 2 months. The patient was diagnosed to have ulcerative colitis after sigmoidoscopy and biopsy and she was started on treatment. Two days later, the patient developed headache and seizures. Magnetic resonance imaging of brain showed cerebral venous thrombosis with venous infarcts. A high index of clinical suspicion is needed to diagnose this uncommon condition so that appropriate treatment can be initiated.
authors.affiliation: Department of Neurology, Narayana Medical College and Superspeciality Hospital, Nellore, Andhra Pradesh, India.
authors.forename: Bindu
authors.initials: B
authors.lastname: Menon
authors.forename: Rajeev
authors.initials: R
authors.lastname: Goyal
authors.forename: Lalit
authors.initials: L
authors.lastname: Nihal
authors.forename: Rajasekhar
authors.initials: R
authors.lastname: Reddy
keywords: Cerebral venous thrombosis; irritable bowel syndrome; ulcerative colitis
references.citation: Neurologia. 2011 Oct;26(8):488-98
references.pmid: 21163216
references.citation: Mayo Clin Proc. 1986 Feb;61(2):140-5
references.pmid: 3080643
references.citation: Stroke. 2010 Nov;41(11):2575-80
references.pmid: 20930161
references.citation: Hepatogastroenterology. 2004 May-Jun;51(57):768-70
references.pmid: 15143912
references.citation: Ann N Y Acad Sci. 2005 Jun;1051:166-73
references.pmid: 16126956
references.citation: Neurol Clin. 1992 Feb;10(1):87-111
references.pmid: 1557011
references.citation: World J Gastroenterol. 2005 Sep 14;11(34):5404-7
references.pmid: 16149158
references.citation: Stroke. 2008 Apr;39(4):1152-8
references.pmid: 18309177
references.citation: Am J Gastroenterol. 2007 Jan;102(1):174-86
references.pmid: 17100967