Cerebral venous thrombosis with subarachnoid hemorrhage: a case report.
Cerebral venous thrombosis (CVT) presenting as subarachnoid hemorrhage (SAH) is infrequent. We present the case of a man with CVT of the right transverse sinus who presented with a SAH in the right parietal sinus. In this case, we describe a hyper-homocysteinemia in a heterozygous patient for the methylenetetrahydrofolate reductase C667T mutation. Our report highlights the value of an early diagnosis of CVT, the importance of identifying possible causes that could be reversed with an appropriate treatment, and the controversy about the timing for starting anticoagulation therapy in such cases.
Internal Medicine Department, Zafra Hospital, County Badajoz, Spain. joscarlor@gmail.com.
José Carlos
JC
Arévalo-Lorido
Internal Medicine Department, Zafra Hospital, County Badajoz, Spain.
Juana
J
Carretero-Gómez
D000368:Aged; D002533:Cerebral Angiography; D002550:Cerebral Veins / Q000473:pathology; D006579:Heterozygote; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D042965:Methylenetetrahydrofolate Reductase (NADPH2) / Q000235:genetics; D020125:Mutation, Missense; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging* / Q000235:genetics; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging* / Q000235:genetics
C573423:MTHFR protein, human; D042965:Methylenetetrahydrofolate Reductase (NADPH2)
Cerebral venous thrombosis; Cortical subarachnoid hemorrhage; Homocysteine