title: Unusual Case of Cerebral Venous Sinus Thrombosis in Patient with Ulcerative Colitis in Remission.
abstract: Ulcerative colitis (UC) is an idiopathic autoimmune inflammatory disease of the gastrointestinal tract. Cerebral venous sinus thrombosis along with deep vein thrombosis, pulmonary embolism and arterial thrombosis have occasionally been reported as a complication in the active phase of UC being attributed to its pro-thrombotic state. This paper depicts a 38-year-old female with a history of UC in remission who developed sudden onset headache, blurring of vision and seizures. Subsequent diagnosis of cerebral venous sinus thrombosis was made with MRI venography and treated with low molecular weight heparin with complete resolution of symptoms. The highlights of this case underscore the importance of evaluating cerebral venous sinus thrombosis as a cause of acute onset neurological deterioration in a setting of inflammatory bowel disease. It also emphasizes on the hypothesis that the risk of venous thrombosis or other hypercoagulable states have no direct relationship with the disease activity or flare-up.
authors.affiliation: Professor, Department of Medicine, MKCG Medical College , Brahmapur, Odisha, India .
authors.forename: Lalit Kumar
authors.initials: LK
authors.lastname: Meher
authors.affiliation: Junior Resident, Department of Medicine, MKCG Medical College , Brahmapur, Odisha, India .
authors.forename: Siba Prasad
authors.initials: SP
authors.lastname: Dalai
authors.affiliation: Junior Resident, Department of Medicine, MKCG Medical College , Brahmapur, Odisha, India .
authors.forename: Sameer
authors.initials: S
authors.lastname: Panda
authors.affiliation: Associate Professor, Department of Medicine, MKCG Medical College , Brahmapur, Odisha, India .
authors.forename: Pankaj Kumar
authors.initials: PK
authors.lastname: Hui
authors.affiliation: Assistant Professor, Department of Medicine, MKCG Medical College , Brahmapur, Odisha, India .
authors.forename: Sachidananda
authors.initials: S
authors.lastname: Nayak
keywords: Disease activity index; Inflammatory bowel disease; Partial mayo score