Journal of the Chinese Medical Association
Volume 69, Issue 6 , Pages 282-285, June 2006

Cerebral Venous Thrombosis Initially Presenting with Acute Subarachnoid Hemorrhage

  • Ji-Ho Lin

      Affiliations

    • Department of Neurology, Tao-Yuan General Hospital, Department of Health, Executive Yuan, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr. Ji-Ho Lin, Department of Neurology, Tao-Yuan General Hospital, Department of Health, Executive Yuan, 1492, Jhongshan Road, Tao-Yuan 330, Taiwan, R.O.C.
    • ,
  • Shang-Yeong Kwan

      Affiliations

    • Pediatric Epilepsy Surgery Group, Taipei Veterans General Hospital, Taiwan, R.O.C.
    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • ,
  • Dean Wu

      Affiliations

    • Department of Neurology, Min-Sheng General Hospital, Tao-Yuan, Taiwan, R.O.C.

Received 20 July 2005; accepted 25 January 2006.

Article Outline

We report the case of a 44-year-old man with superior sagittal and transverse sinus thrombi, who initially presented with venous subarachnoid hemorrhage over the right parietal sulci. After 7 days of intravenous anticoagulation therapy, his condition stabilized. Cerebral venous thrombosis can be difficult to diagnose and is further complicated when patients initially present with acute subarachnoid hemorrhage. A high index of clinical suspicion is needed to diagnose venous subarachnoid hemorrhage so that appropriate treatment can be initiated as promptly as possible.

Key Words:  angiography , cerebral venous thrombus , subarachnoid hemorrhage

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References 

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PII: S1726-4901(09)70258-8

doi:10.1016/S1726-4901(09)70258-8

Journal of the Chinese Medical Association
Volume 69, Issue 6 , Pages 282-285, June 2006

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