Uncontrolled seizures resulting from cerebral venous sinus thrombosis complicating neurobrucellosis

Autor: Abolfazl Mohammadbeigi, Afsoon Talaie-Zanjani, Fardin Faraji, Farshid Didgar
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Journal of Neurosciences in Rural Practice, Vol 04, Iss 03, Pp 313-316 (2013)
Journal of Neurosciences in Rural Practice
ISSN: 0976-3155
0976-3147
DOI: 10.4103/0976-3147.118780
Popis: Cerebral venous sinus thrombosis is a rare form of stroke caused by thrombosis in venous sinuses of the brain. In this study, we reported on a patient with venous sinus thrombosis and brucellosis who presented with uncontrolled seizure despite being treated with anti-epileptic drugs at high doses. The case was a 33-year-old woman with a history of controlled complex partial seizure who presented with headache, asthenia, and uncontrolled seizure for one month. She was febrile and a brain CT scan indicated hemorrhagic focus in the left posterior parietal and the temporal lobe. Magnetic resonance imaging and magnetic resonance venography also proved venous sinus thrombosis in the left transverse sinus. Besides [In addition], a laboratory assessment confirmed brucellosis. Following the treatment with anti-coagulant, anti-brucellosis, and anti-epileptic agents, the patient was discharged in good condition with medical orders. Clinical suspicion and accurate evaluation of a patient′s history is the most important clue in diagnosis and treatment of brucellosis and cerebral venous sinus thrombosis, especially in uncontrolled seizure in patients who had previously been under control.
Databáze: OpenAIRE