Intracranial hypertension syndrome secondary to internal jugular vein thrombosis due to miliary cervical tuberculosis: A case report

Autor: Abraham Ibarra de la-Torre, Daniel Alejandro Vega-Moreno, Diego Ochoa-Cacique, Ulises García-González, Ivan Eduardo González-González, José Omar Santellán-Hernández, José Ramón Aguilar-Calderón, Carlos Betancourt-Quiroz, Mario Alberto Dueñas-Espinoza, Antonio Avilés-Aguilar, Rodolfo Pedro Molina-Martínez
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Surgical Neurology International
ISSN: 2152-7806
2229-5097
Popis: Background: Thrombosis of the internal jugular vein (IJV) is extremely rare, being central catheterization the most common cause. We present a case of a patient with an unusual appearance of neurological symptoms as a consequence of thrombosis of the IJV secondary to miliary tuberculosis. Case Description: A 30-year-old woman with disseminated tuberculosis, with multiple lymphadenopathy, axillary, cervical, mesenteric, retroperitoneal, and inguinal, presented with clinical evidence of intracranial hypertension. A diagnostic cerebral angiography was performed, which revealed an occluded left internal jugular and venous stasis in the entire cerebral venous system. The patient was treated with low-molecular-weight heparin, with which she had an adequate evolution. Conclusion: Tuberculosis is capable of generating a state of hypercoagulability, in addition to a mechanical compression effect due to cervical lymphadenopathy. We report an unusual clinical presentation, with intracranial involvement due to IJV thrombosis secondary to miliary tuberculosis. So far, there are no cases with a similar presentation described above.
Databáze: OpenAIRE