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[Superior sagittal sinus thrombosis suffered as a complication of ulcerative colitis: case report].
No Shinkei Geka. 2006 Sep; 34(9):939-42.NS

Abstract

A case of superior sagittal sinus thrombosis which was complicated with ulcerative colitis is reported. A 16-year-old male patient had a 2-year history of ulcerative colitis. He was admitted to our hospital complaining of abdominal pain, bloody bowel discharge and appetite loss, and was then treated conservatively. Two days after admission, he demonstrated generalized convulsions which were followed by right hemiplegia. MRI showed a low intensity lesion on T1 and an irregular high intensity in the subcortical area of the left frontal lobe on T2 and T2 FLAIR-weighted images. The MRI findings resembled either invasive brain tumor or local inflammation. Cerebral angiography appeared to demonstrate complete obstruction of the superior sagittal sinus with congestion of venous flow in the cortical veins. Ulcerative colitis has been reported to show hypercoagulation, leading to deep vein thrombosis within the body which sometimes causes pulmonary infarction; however, occurrence of venous thrombosis in the intracranial veins and sinus is rare. This report underscores the fact that cerebral venous thrombosis should be suspected in the case of patients with ulceritive colitis who suffer sudden onset of neurological deficits.

Authors+Show Affiliations

Department of Neurological Surgery, Nihon University, School of Medicine, 30-1, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan. yutaka@lares.dti.ne.jpNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

16984029

Citation

Shigemori, Yutaka, et al. "[Superior Sagittal Sinus Thrombosis Suffered as a Complication of Ulcerative Colitis: Case Report]." No Shinkei Geka. Neurological Surgery, vol. 34, no. 9, 2006, pp. 939-42.
Shigemori Y, Koshinaga M, Suma T, et al. [Superior sagittal sinus thrombosis suffered as a complication of ulcerative colitis: case report]. No Shinkei Geka. 2006;34(9):939-42.
Shigemori, Y., Koshinaga, M., Suma, T., & Katayama, Y. (2006). [Superior sagittal sinus thrombosis suffered as a complication of ulcerative colitis: case report]. No Shinkei Geka. Neurological Surgery, 34(9), 939-42.
Shigemori Y, et al. [Superior Sagittal Sinus Thrombosis Suffered as a Complication of Ulcerative Colitis: Case Report]. No Shinkei Geka. 2006;34(9):939-42. PubMed PMID: 16984029.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Superior sagittal sinus thrombosis suffered as a complication of ulcerative colitis: case report]. AU - Shigemori,Yutaka, AU - Koshinaga,Morimichi, AU - Suma,Takeshi, AU - Katayama,Yoichi, PY - 2006/9/21/pubmed PY - 2006/10/14/medline PY - 2006/9/21/entrez SP - 939 EP - 42 JF - No shinkei geka. Neurological surgery JO - No Shinkei Geka VL - 34 IS - 9 N2 - A case of superior sagittal sinus thrombosis which was complicated with ulcerative colitis is reported. A 16-year-old male patient had a 2-year history of ulcerative colitis. He was admitted to our hospital complaining of abdominal pain, bloody bowel discharge and appetite loss, and was then treated conservatively. Two days after admission, he demonstrated generalized convulsions which were followed by right hemiplegia. MRI showed a low intensity lesion on T1 and an irregular high intensity in the subcortical area of the left frontal lobe on T2 and T2 FLAIR-weighted images. The MRI findings resembled either invasive brain tumor or local inflammation. Cerebral angiography appeared to demonstrate complete obstruction of the superior sagittal sinus with congestion of venous flow in the cortical veins. Ulcerative colitis has been reported to show hypercoagulation, leading to deep vein thrombosis within the body which sometimes causes pulmonary infarction; however, occurrence of venous thrombosis in the intracranial veins and sinus is rare. This report underscores the fact that cerebral venous thrombosis should be suspected in the case of patients with ulceritive colitis who suffer sudden onset of neurological deficits. SN - 0301-2603 UR - https://www.unboundmedicine.com/medline/citation/16984029/[Superior_sagittal_sinus_thrombosis_suffered_as_a_complication_of_ulcerative_colitis:_case_report]_ L2 - https://webview.isho.jp/openurl?rft.genre=article&rft.issn=0301-2603&rft.volume=34&rft.issue=9&rft.spage=939 DB - PRIME DP - Unbound Medicine ER -