Öz
Serebral venöz tromboz, morbidite ve mortaliteye yol açabilen nadir bir hastalıktır. En sık 30-40 yaş arası olmak üzere tüm yaş gruplarında görülebilir. Serebral venöz tromboz hastaları sıklıkla baş ağrısı, bulantı, papilödem daha nadir olarak nöbet, ensefalopati, intrakraniyal kanama, multipl kranial sinir tutulumlarını içeren çeşitli klinik bulgularla başvurabilir. Serebral venöz tromboz hastalarının değişken prezentasyonu tanıda zorluklar ortaya çıkarmaktadır. Bu yazıda 10 gündür baş ağrısı şikâyeti olan ve MR görüntülemelerinde ilk olarak alamik kitle olduğu düşünülen ancak ayrıntılı radyolojik incelemeler sonucu internal serebral venlerde tromboz saptanan bir olgu sunulmuştur.
Anahtar Kelimeler
Serebral venöz tromboz baş ağrısı ayırıcı tanı. Serebral venöz tromboz, baş ağrısı, ayırıcı tanı.
Kaynakça
- Bousser M. G., Crassard I. (2012). Cerebral venous thrombosis, pregnancy and oral contraceptives. Thrombosis Research, 130 Suppl 1 (SUPPL.1).
- Sanz Gallego I., Fuentes B., Martínez-Sánchez P., Díez Tejedor E. (2011). Do cerebral venous thrombosis risk factors influence the development of an associated venous infarction? Neurologia (Barcelona, Spain), 26 (1), o13–19.
- Masuhr F., Mehraein S., Einhäupl K. (2004). Cerebral venous and sinus thrombosis. Journal of Neurology, 251 (1), 11–23.
- Lal D., Gujjar A. R., Ramachandiran N., et al. (2018). Spectrum of Cerebral Venous Thrombosis in Oman. Sultan Qaboos University Medical Journal, 18 (3), 329–37.
- Smith A. B., Smirniotopoulos J. G., Rushing E. J., Goldstein S. J. (2009). Bilateral thalamic lesions American Journal of Roentgenology, 192 (2).
- Doherty M. J., Watson N. F., Uchino K., Hallam D. K., Cramer S. C. (2002). Diffusion abnormalities in patients with Wernicke encephalopathy. Neurology, 58 (4), 655–7.
- Cramer S. C., Stegbauer K. C., Schneider A., Mukai J., Maravilla K. R. (2001). Decreased Diffusion in Central Pontine Myelinolysis. AJNR: American Journal of Neuroradiology, 22 (8), 1476.
- Wu Z., Mittal S., Kish K., Yu Y., Hu J., Haacke E. M. (2009). Identification of Calcification with Magnetic Resonance Imaging Using Susceptibility-Weighted Imaging: A Case Study. Journal of Magnetic Resonance Imaging : JMRI, 29 (1), 177.
- Young G. S., Geschwind M. D., Fischbein N. J., et al. (2005). Diffusion-Weighted and Fluid-Attenuated Inversion Recovery Imaging in Creutzfeldt-Jakob Disease: High Sensitivity and Specificity for Diagnosis. AJNR: American Journal of Neuroradiology, 26 (6), 1551.
- Bartynski W. S., Boardman J. F. (2007). Distinct imaging patterns and lesion distribution in posterior reversible encephalopathy syndrome. AJNR. American Journal of Neuroradiology, 28 (7), 1320–7.
Öz
Cerebral venous thrombosis is a rare disease that can lead to morbidity and mortality. It can be seen in all age groups, most commonly between the ages of 30-40. Cerebral venous thrombosis patients may present with various clinical findings including headache, nausea, papilledema and less commonly seizures, encephalopathy, intracranial hemorrhage, multiple cranial nerve involvements.
Variable presentation of patients creates difficulties in diagnosis. In this article, a patient who had a headache for 10 days and was first thought to have a thalamic tumor MRI but was found to have thrombosis in the internal cerebral veins as a result of detailed radiological examinations.
Anahtar Kelimeler
Cerebral venous thrombosis headache differential diagnosis. Cerebral venous thrombosis, headache, differential diagnosis.
Kaynakça
- Bousser M. G., Crassard I. (2012). Cerebral venous thrombosis, pregnancy and oral contraceptives. Thrombosis Research, 130 Suppl 1 (SUPPL.1).
- Sanz Gallego I., Fuentes B., Martínez-Sánchez P., Díez Tejedor E. (2011). Do cerebral venous thrombosis risk factors influence the development of an associated venous infarction? Neurologia (Barcelona, Spain), 26 (1), o13–19.
- Masuhr F., Mehraein S., Einhäupl K. (2004). Cerebral venous and sinus thrombosis. Journal of Neurology, 251 (1), 11–23.
- Lal D., Gujjar A. R., Ramachandiran N., et al. (2018). Spectrum of Cerebral Venous Thrombosis in Oman. Sultan Qaboos University Medical Journal, 18 (3), 329–37.
- Smith A. B., Smirniotopoulos J. G., Rushing E. J., Goldstein S. J. (2009). Bilateral thalamic lesions American Journal of Roentgenology, 192 (2).
- Doherty M. J., Watson N. F., Uchino K., Hallam D. K., Cramer S. C. (2002). Diffusion abnormalities in patients with Wernicke encephalopathy. Neurology, 58 (4), 655–7.
- Cramer S. C., Stegbauer K. C., Schneider A., Mukai J., Maravilla K. R. (2001). Decreased Diffusion in Central Pontine Myelinolysis. AJNR: American Journal of Neuroradiology, 22 (8), 1476.
- Wu Z., Mittal S., Kish K., Yu Y., Hu J., Haacke E. M. (2009). Identification of Calcification with Magnetic Resonance Imaging Using Susceptibility-Weighted Imaging: A Case Study. Journal of Magnetic Resonance Imaging : JMRI, 29 (1), 177.
- Young G. S., Geschwind M. D., Fischbein N. J., et al. (2005). Diffusion-Weighted and Fluid-Attenuated Inversion Recovery Imaging in Creutzfeldt-Jakob Disease: High Sensitivity and Specificity for Diagnosis. AJNR: American Journal of Neuroradiology, 26 (6), 1551.
- Bartynski W. S., Boardman J. F. (2007). Distinct imaging patterns and lesion distribution in posterior reversible encephalopathy syndrome. AJNR. American Journal of Neuroradiology, 28 (7), 1320–7.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 12 Eylül 2022 |
| Gönderilme Tarihi | 15 Ekim 2021 |
| Yayımlandığı Sayı | Yıl 2022 |