Isolated cortical vein thrombosis in a young male adult.
BMJ Case Rep
; 14(6)2021 Jun 15.
Article
in English
| MEDLINE | ID: covidwho-1270883
ABSTRACT
Isolated cortical vein thrombosis (ICVT) is a rare entity and accounts for only 6.3% of cerebral venous and sinus thrombosis. ICVT is an uncommon cause of seizures in young adults. We present a 27-year-old man with no medical history who presented with dizziness, loss of consciousness and a seizure-like episode. The patient was found to have an elevated D-dimer and brain imaging revealed ICVT. The patient was started on anticoagulation and antiseizure medications. A high index of suspicion for uncommon aetiologies for new-onset seizure, especially in the young, is key to accurate diagnosis of ICVT. Evaluation and work-up should include detailed physical examination, along with appropriate brain imaging and testing for other conditions that predispose venous thrombosis. In the setting of the SARS-CoV-2 pandemic, testing for COVID-19 may also be warranted. Rapid diagnosis and full anticoagulation can help avoid debilitating complications and long-term sequelae.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Cerebral Veins
/
Venous Thrombosis
/
Intracranial Thrombosis
/
COVID-19
Type of study:
Case report
/
Diagnostic study
/
Etiology study
/
Experimental Studies
/
Prognostic study
Topics:
Long Covid
Limits:
Adult
/
Humans
/
Male
/
Young adult
Language:
English
Year:
2021
Document Type:
Article
Affiliation country:
Bcr-2020-239988
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