Venous sinus thrombosis

Neurological involvement in Behcet s disease may be subclassified into two major forms a vascular-inflammatory process with focal or multifocal parenchymal involvement and a cerebral venous sinus thrombosis with intracranial hypertension. The vasculitis and meningitis may affect cerebral arteries, particularly in the posterior circulation, to cause ischemic stroke and possibly intracranial hemorrhage (Farah et al. 1998 Krespi et al 2001 Siva et al. 2004 Borhani Haghighi et al. 2005). 

Schick RM, Jolesz F, Barnes PD, Mackhs JD. MR diagnosis of dural venous sinus thrombosis comphcating L-asparaginase therapy. Comput Med Imaging Graph 1989 13(4) 319-27. 

Saadatnia M, Fatehi F, Basiri K, Mousavi SA, Mehr GK Cerebral venous sinus thrombosis risk factors. Int J Stroke 2009 4 pp. 111-123. 

Filippidis, A., et al.. Cerebral venous sinus thrombosis review of the demographics, pathophysiology, current diagnosis, and treatment. Neurosurg Focus, 2009. 27(5) p. E3. 

Cerebral venous sinus thrombosis (CVT) is a rare condition that affects 3 per 1,000,000, approximately 0.5% of all adult stroke cases (Table 7.9) [138, 139]. The most common presenting signs and symptoms are headache, seizures, vomiting, and papilledema. Visual changes, altered consciousness, cranial nerve palsies, nystagmus, and focal neurologic deficits are also... 

Mullins, M.E., et al.. Parenchymal abnormalities associated with cerebral venous sinus thrombosis assessment with diffusion-weighted MR imaging. AJNR Am J Neuroradiol, 2004. 25(10) p. 1666-75. 

Eyes Erythematous, painful globe with dilated unreactive pupil (rubeosis iiidis) Papilledema Roth spot Cholesterol embolus Hypertensive or diabetic retinopathy Subhyaloid hemorrhage Ischemic eye due to combined ICA and ECA disease Increased intracranial pressure from intracranial mass, venous sinus thrombosis, hydrocephalus, chronic meningitis Bacterial endocarditis Cholesterol embolus from aorta or carotid Hypertension and/or diabetes Subarachnoid hemorrhage... 

Pohl M, Zimmerhackl LB, Heinen F et al (1998) Bilateral renal vein thrombosis and venous sinus thrombosis in a neonate with factor V mutation (FV Leiden). J Pediatr 132 159-161... 

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