Late diagnosis of homocystinuria in an adult after extensive cerebral venous thrombosis

A CT venogram confirmed an extensive deep cerebral venous thrombosis that included the right internal jugular vein, right sigmoid and transverse sinuses, superior sagittal sinus and distal segment of rectus sinus (figure 3). Cerebral venous thrombosis has many underlying triggers and/or predisposing...

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Bibliographic Details
Published inPractical neurology Vol. 18; no. 1; pp. 49 - 51
Main Authors Quintas, Sonia, Dotor-García Soto, Julio, Alonso-Cerezo, María Concepción, Carreras, Maria Teresa
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.02.2018
Subjects
Anticoagulants
Health risk assessment
Lupus
Medical diagnosis
Mutation
United Kingdom > UK
Spain
marfan syndrome
homocystinuria
recessive inheritance
cerebral venous thrombosis
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Summary:A CT venogram confirmed an extensive deep cerebral venous thrombosis that included the right internal jugular vein, right sigmoid and transverse sinuses, superior sagittal sinus and distal segment of rectus sinus (figure 3). Cerebral venous thrombosis has many underlying triggers and/or predisposing risk factors, including some that are transient (for example, parameningeal infection or sepsis, pregnancy and puerperium, dehydration, mechanical precipitants, drugs such as oral contraceptives or hormonal replacement therapy and glucocorticoids) and/or those that are permanent (eg, inflammatory systemic diseases, cancer-related, genetic prothrombotic conditions, dural fistulae, thyroid disease, congenital heart disease). Drugs (oral contraceptives, hormonal replacement therapy, ciclosporin, intravenous immunoglobulins, erythropoietin, androgens, asparaginase, tamoxifen, glucocorticoids).
ISSN:1474-7758
1474-7766
DOI:10.1136/practneurol-2017-001795