Neurological Surgery No Shinkei Geka Volume 46, Issue 1 (January 2018)
Japanese

Rapid Recanalization of Cerebral Venous Sinus Thrombosis Secondary to Severe Dehydration:A Case Report Ichiro KAWAHARA 1 , Keisuke TOYODA 1 , Makoto HIROSE 1 , Naoki KITAGAWA 1 1Department of Neurosurgery, Nagasaki Rosai Hospital Keyword: cerebral venous sinus thrombosis , dehydration , rapid recanalization , TIA-like event pp.47-52
Published Date 2018/1/10
DOI https://doi.org/10.11477/mf.1436203674
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 A 41-year-old healthy man presented with sudden disturbance of consciousness and convulsion during a marathon. Computed tomography revealed a lateral sinus sign in the posterior fossa, and magnetic resonance(MR)venography revealed a flow gap in the posterior part of the superior sagittal sinus and bilateral transverse sinus, although the other MR image sequences were normal. Laboratory data revealed dehydration, acute kidney failure, and rhabdomyolysis. Owing to immediate correction of dehydration, clinical symptoms and radiological abnormality improved rapidly.

 Cerebral venous sinus thrombosis(CVST)is a rare condition, accounting for <1% of all stroke cases. In all cases, CVST cannot cause cerebral infarction or hemorrhagic change but in any case, may present a transient ischemic attack-like event because of rapid spontaneous recanalization. Therefore, CVST may occur more frequently than expected.


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基本情報

03012603.46.1.jpg
Neurological Surgery 脳神経外科
46巻1号 (2018年1月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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