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Headache: Cortical Vein Thrombosis and Response to Anticoagulation
J Emerg Med 17:449-453, Minadeo,J.P &Karaman,B.A., 1999
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Article Abstract
Cerebral venous thrombosis (CVT) is being diagnoses more frequently with the use of advanced radiologic imaging. The presentation of CVT includes a wide spectrum of nonspecific symptoms with headache predominating. We present a case with a cute, severe headache. The evaluation included a head computed tomography (CT) scan that was normal. The presence of opacified sinuses led to treatment for sinusitis. The patient returned the following day with a generalized tonic-clonic seizure. A ma gnetic resonance imaging (MRI) study identified an isolated cortical venous thrombosis. This patient was treated with anticonvulsant and anticoagulation therapy. A CVT is an unusual cause of headache and should be considered in patients with atypical pr esentation or associated seizure, or who are refractory to current therapy. Diagnosis may be made with MRI. Resolution and complete recovery are possible with appropriate therapy.
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CAT scan,abnormal
CAT scan,false negative
cerebral infarction
cerebral venous infarction
cerebral venous thrombosis
cerebrovascular accident
chemosis
cortical vein thrombosis
fever
headache
headache,severe
MRI,abnormal
proptosis
ptosis
seizure
sinuses,diseases of
sinusitis
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