Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 16 , ISSUE 4 ( October, 2012 ) > List of Articles

CASE REPORT

Cerebral venous thrombosis presenting as multiple lower cranial nerve palsies

N. Byju, James Jose, K. Saifudheen, V. Abdul Gafoor, P. Jithendranath

Keywords : Cerebral venous thrombosis, lower cranial nerve palsies, magnetic resonance imaging

Citation Information : Byju N, Jose J, Saifudheen K, Gafoor VA, Jithendranath P. Cerebral venous thrombosis presenting as multiple lower cranial nerve palsies. Indian J Crit Care Med 2012; 16 (4):213-215.

DOI: 10.4103/0972-5229.106505

License: CC BY-ND 3.0

Published Online: 01-10-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Cerebral venous thrombosis (CVT) is a well-recognized entity, but its clinical presentation is varied and often mimics many neurological disorders, making it a diagnostic challenge. Cerebral venous thrombosis has a wide spectrum of signs and symptoms, which may evolve suddenly or over weeks. It mimics many neurological conditions such as meningitis, encephalopathy, idiopathic intracranial hypertension, and stroke. Cerebral venous thrombosis presenting as multiple lower cranial nerve palsies, are rarely reported. We describe a pregnant lady who presented with sensorineural deafness of the right ear and paralysis of the 9 th, 10 th, and 12 th cranial nerves on the right side. She was diagnosed to have thrombosis of the right transverse sinus and sigmoid sinus with extension to the jugular vein and confluence of sinuses. She improved with anticoagulant treatment.


PDF Share
  1. Facial palsy in cerebral venous thrombosis: Transcranial stimulation and pathophysiological considerations. Stroke 2000;31:1766-9.
  2. Cerebral venous thrombosis mimicking acute unilateral vestibulopathy. Neurol Sci 2008;29:41-3.
  3. Reversible bilateral sensorineural hearing loss in a woman with cerebral venous thrombosis. J Neurol 2008;255:1825-6.
  4. The jugular foramen: A review of anatomy, masses, and imaging characteristics. Radiographics 1997;17:1123-39.
  5. Collet-sicard syndrome from thrombosis of the sigmoid-jugular complex: A case report and review of the literature. Int J Otolaryngol 2010;2010.pii: 203587.
  6. Clinical and radiological aspects of Villaret′s syndrome. Clin Neurol Neurosurg 1996;98:194-6.
  7. Diagnosis and management of cerebral venous thrombosis: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011;42:1158-92.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.