Massive cerebral venous sinus thrombosis secondary to Graves' disease
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Cerebral venous sinus thrombosis (CVT) is a rare cerebrovascular condition accounting for 0.5–1% of all types of strokes in the general population. Hyperthyroidism is associated with procoagulant and antifibrinolytic activity, thereby precipitating a hypercoagulable state that predisposes to CVT. We report the case of a 31-year-old Korean man with massive CVT and diagnosis of concomitant Graves’ disease at admission. Early diagnosis and prompt treatment of CVT are important to improve prognosis; therefore, CVT should be considered in the differential diagnosis in all patients with hyperthyroidism presenting with neurological symptoms.
Abstract
Cerebral venous sinus thrombosis (CVT) is a rare cerebrovascular condition accounting for 0.5–1% of all types of strokes in the general population. Hyperthyroidism is associated with procoagulant and antifibrinolytic activity, thereby precipitating a hypercoagulable state that predisposes to CVT. We report the case of a 31-year-old Korean man with massive CVT and diagnosis of concomitant Graves’ disease at admission. Early diagnosis and prompt treatment of CVT are important to improve prognosis; therefore, CVT should be considered in the differential diagnosis in all patients with hyperthyroidism presenting with neurological symptoms.
참고문헌 (11)
- Einhäupl K, "EFNS guideline on the treatment of cerebral venous and sinus thrombosis", Eur J Neurol, 13, pp.553~559 (2006)
- Saposnik G, "Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association", American Stroke Association, 2011, pp.42, 1158~1192
- Kaliebe H, "Autochthone sinusthrombose bei einem falle von morbus basedow und tabes", Med Klin, 9, pp.1929~1932 (1913)
- Doyle JB, "Obstruction of the longitudinal sinus", Arch Neurol Psychiatry, 18, pp.374~382 (1927)
- Hermans E, "Sinus sigmoideus thrombosis secondary to graves’ disease: a case description", Case Rep Neurol, 3, pp.203~209 (2011)
- Jong-Uk Hwang, "The Role of Hyperthyroidism as the Predisposing Factor for Superior Sagittal Sinus Thrombosis", Journal of Cerebrovascular and Endovascular Neurosurgery, 14(3), pp.251~254 (2012), 대한뇌혈관외과학회[DOI]
- Merino M, "Thyro-toxicosis and cerebral venous sinus thrombosis, causality or chance alone?", Endocrinol Nutr, 59, pp.462~463 (2012)
- Migeot M, "Puerperal cerebral sinus venous thrombosis and acute hyperthyroidism in Graves’ disease", Acta Neurol Belg, 113, pp.331~333 (2013)
- Bensalah M, "Cerebral vein and sinus thrombosis and hyperthyrodism: a case report and a systematic review of the literature", Thromb Res, 128, pp.98~100 (2011)
- Squizzato A, "Thyroid dysfunction and effects on coagulation and fibrinolysis: a systematic review", J Clin Endocrinol Metab, 92, pp.2415~2420 (2007)
- Rosendaal FR, "Venous thrombosis: a multicausal disease", Lancet, 353, pp.1167~1173 (1999)