Cerebral Venous Thrombosis: An Unexpected Complication with Cerebrospinal Fluid Leaks after a Fall in a Patient with Spinocerebellar Ataxia Type 6
Open Access
- 15 July 2020
- journal article
- research article
- Published by Japanese Society of Internal Medicine in Internal Medicine
- Vol. 59 (14), 1749-1753
- https://doi.org/10.2169/internalmedicine.4388-20
Abstract
A 65-year-old woman with spinocerebellar ataxia presented with generalized seizures due to subcortical hemorrhaging. Magnetic resonance imaging (MRI) revealed obstruction of the superior sagittal sinus. Despite treatment, she became comatose. MRI newly revealed subdural fluid collection and descent of the brainstem. Her history indicated a recent fall, prompting additional studies, which revealed lumbar fracture and cerebrospinal fluid (CSF) leaks. We performed an epidural blood patch, and her consciousness was fully restored in one month. This is the first report of cerebral venous thrombosis with CSF leaks in the lumbar region due to a fall injury.Keywords
This publication has 13 references indexed in Scilit:
- Cerebral Venous Thrombosis in Spontaneous Intracranial Hypotension: A Report on 4 Cases and a Review of the LiteratureHeadache: The Journal of Head and Face Pain, 2018
- Dinosaur Tail Sign: A Useful Spinal MRI Finding Indicative of Cerebrospinal Fluid LeakageHeadache: The Journal of Head and Face Pain, 2017
- Endovascular mechanical thrombectomy for cerebral venous sinus thrombosis: a systematic reviewJournal of NeuroInterventional Surgery, 2017
- Spontaneous Low Pressure, Low CSF Volume Headaches: Spontaneous CSF LeaksHeadache: The Journal of Head and Face Pain, 2013
- Prospective Analysis of Falls in Dominant AtaxiasEuropean Neurology, 2012
- Cerebral Venous Thrombosis in Spontaneous Intracranial HypotensionHeadache: The Journal of Head and Face Pain, 2008
- Diagnostic Criteria for Spontaneous Spinal CSF Leaks and Intracranial HypotensionAmerican Journal of Neuroradiology, 2008
- Spontaneous Spinal Cerebrospinal Fluid Leaks and Intracranial HypotensionJAMA, 2006
- Absent headache despite CSF volume depletion (intracranial hypotension)Neurology, 2000
- Spinocerebellar ataxia type 6Neurology, 1997