title: Cerebral venous thrombosis in a patient with clinically isolated spinal cord syndrome.
abstract: Background. The association between cerebral venous thrombosis (CVT) and multiple sclerosis (MS) has already been reported in patients with clinically definite MS in relation to intravenous methylprednisolone (IVMP) or previously performed lumbar puncture (LP). Case Summery. We report a 29-year-old Indian female who presented with a clinically isolated spinal cord syndrome according to the revised 2010 McDonald Criteria. She developed CVT after a lumbar puncture and two days of finishing the course of IVMP. Conclusion. We conclude that the sequence of doing lumbar puncture followed by high-dose IVMP may increase the risk of CVT. A prophylactic anticoagulation may be indicated in this setting.
authors.affiliation: Neurology Department, Ibn Sina Hospital, P.O. Box 25427, 13115 Safat, Kuwait ; Kuwait University, P.O. Box 24923, 13110 Safat, Kuwait.
authors.forename: Jasem Yousef
authors.initials: JY
authors.lastname: Al-Hashel
authors.forename: Samar Farouk
authors.initials: SF
authors.lastname: Ahmed
authors.forename: K J
authors.initials: KJ
authors.lastname: Alexnader
authors.forename: Walaa
authors.initials: W
authors.lastname: Ahmed