Cerebral venous sinus thrombosis due to hyperhomocysteinemia with cystathionine-β-synthase (CBS) gene mutation: A case report
Autor: | Xiang Luo, Hui Li, Ke Shang |
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Rok vydání: | 2019 |
Předmět: |
Male
Hyperhomocysteinemia Adolescent Cystathionine beta-Synthase cystathionine-β-synthase (CBS) Gene mutation Bioinformatics 03 medical and health sciences Sinus Thrombosis Intracranial 0302 clinical medicine Polymorphism (computer science) medicine Humans case report 030212 general & internal medicine Clinical Case Report Cerebral venous sinus thrombosis Inherited thrombophilia Methylenetetrahydrofolate Reductase (NADPH2) Pregnancy Polymorphism Genetic ATP synthase biology business.industry Anticoagulants General Medicine medicine.disease Cystathionine beta synthase cerebral venous sinus thrombosis (CVST) 030220 oncology & carcinogenesis biology.protein ComputingMethodologies_DOCUMENTANDTEXTPROCESSING lens ectopia business Research Article |
Zdroj: | Medicine |
ISSN: | 1536-5964 |
Popis: | Supplemental Digital Content is available in the text Rationale: Risk factors of cerebral venous sinus thrombosis (CVST) are usually divided into acquired risks (e.g., trauma and pregnancy) and genetic risks (inherited thrombophilia). It is essential but not easy to identify the exact one for each patient. Patient concerns: A 14-year-old male patient was admitted in our hospital because of progressively exacerbated severe headache and vomiting for 3 days, accompanied by transient weakness once in his right leg. Diagnosis: CVST due to hyperhomocysteinemia with cystathionine-β-synthase (CBS) gene mutation. Interventions: Persistent oral anticoagulant therapy. Outcomes: Follow-ups at 4 months and 1 year showed that the patient's symptoms alleviated and did not recur, accompanied with improved MRV image; however, the cranial MRV image did not display as a completely normal one. Lessons: We recommend that in case of thrombophilic state, serum homocysteine (Hcy), folic acid, and vitamin B12 levels should be routinely screened; when serum Hcy level is extremely high, congenital diseases caused by gene mutations should be considered. We firstly discovered a new mutation of CBS c.949A>G which had not been reported before. |
Databáze: | OpenAIRE |
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