Superior Sagittal Venous Sinus Thrombosis in a Patient with Illicit Testosterone Use
| Autor: | Naz Gandikal, Jason Faucheux, Ariba Hashmi, Paul Kim, Syed W Ahmad |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Pediatrics
medicine.medical_specialty 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine delta sign androgenic anabolic steroids Pathognomonic testosterone replacement therapy medicine Cerebral venous sinus thrombosis coagulation anabolic steroids general tonic-clonic seizures Past medical history business.industry cord sign General Engineering Endocrinology/Diabetes/Metabolism Emergency department medicine.disease Thrombosis superior sagittal sinus hypercoagulability Neurology Etiology Headaches medicine.symptom business Radiology cerebral venous sinus thrombosis 030217 neurology & neurosurgery Superior sagittal sinus |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Cerebral venous sinus thrombosis is a challenging diagnosis due in part to its variable clinical presentation and rarity. The annual incidence ranges from 0.22 to 1.57 per 100,000. The etiology of such disease is related to hypercoagulability states. Although illicit androgen use is a well-known cause of prothrombotic states, its risk of causing cerebral venous sinus thrombosis has been infrequently reported. We present the case of a 33-year-old male with no known past medical history who presented to the emergency department (ED) with persistent seizure activity, neurological deficits, and history of worsening headaches who was found to have an extensive superior sagittal sinus thrombosis on imaging. Radiologic findings demonstrated pathognomonic findings of cord sign and delta sign, the previous being highly specific but of low incidence. An inconclusive hypercoagulability workup prompted further questioning which revealed illicit androgenic anabolic steroid use. Prompt treatment with anticoagulation and anti-seizure medication was pursued with full resolution of his neurologic symptomatology. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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