Cerebral venous thrombosis secondary to hyperthyroidism: A case report

  • Basant Pant Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
  • Malika Bajracharya Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
  • Avinash Chandra Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
  • Ramita Bati Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
  • Reema Rajbhadari Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
  • Sameer Acharya Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
  • Pranaya Shrestha Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
  • Resha Shrestha Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
  • Pravesh Rajbhandari Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
  • Robin Bhattarai Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
Keywords: Cerebral Venous Thrombosis, Hyperthyroidism, Seizure, Headache

Abstract

Cerebral Venous Thrombosis (CVT) is a rare form of Stroke characterized by thrombus formation in the cerebral veins. CVT is a result of various reasons among which the hyperthyroidism is not so frequently encountered. This is probably the first case report published from Nepal. The aim of this case report is to give the message that persistent severe headache in patient with hyperthyroidism can be the red flag and needs to be investigated further. We present a case of a 35 years old female who presented with complaints of severe headache and persistent in nature associated with vomiting since 5 days. She was a diagnosed subacute thryroiditis and under medicine from 1 month before presenting to us. Her Magnetic Resonance Venography (MRV) brain showed venous thrombosis within superior saggital sinus, left transverse sinus and sigmoid sinus. Her thyroid function test showed pretreatment T3 of 2.98 ng/ml T4 of 1.02 mg/ ml and TSH of 0.12 μIU/L. She was kept on anticoagulants and other supportive measures. The patient showed improving status with the conservative management.

Nepal Journal of Neuroscience 15:29-31, 2018

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Abstract
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Published
2018-05-28
How to Cite
Pant, B., Bajracharya, M., Chandra, A., Bati, R., Rajbhadari, R., Acharya, S., Shrestha, P., Shrestha, R., Rajbhandari, P., & Bhattarai, R. (2018). Cerebral venous thrombosis secondary to hyperthyroidism: A case report. Nepal Journal of Neuroscience, 15(1), 29-31. https://doi.org/10.3126/njn.v15i1.20025
Section
Case Report