An Unusual Presentation of Cerebral Vein Thrombosis: A 40-Year-Old Woman with Acute Intractable Cervical Pain and Lateral Neck Bending

  • Seyed Sadeq Kalantar Department of Neurology, School of Medicine AND Kamkar Arabnia Hospital, Qom University of Medical Sciences, Qom, Iran.
  • nasbeh amrzargar Department of Neurology AND Rofeideh Rehabilitation Hospital, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
  • Sakineh Ranji Burachaloo Iranian Neurological Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Keywords: Venous thrombosis, Neck pain, Oral contraceptives, Cranial sinuses

Abstract

Cerebral venous thrombosis (CVT) is an uncommon but fatal type of stroke with a wide spectrum of signs and symptoms. We report a 40-year-old woman who presented with acute intractable neck pain and lateral cervical bending. Investigations with neuroimaging revealed evidence of thrombosis in her right transverse and sigmoid sinuses. The precipitating factors for the thrombosis were consumption of oral contraceptive pills during the month of Ramadan, and dehydration due to fasting. The patient immediately was treated with the therapeutic dose of anticoagulant. We concluded that in patients with severe cervical pain, especially those who are predisposed to thrombotic complications, CVT should be considered in the differential diagnosis.

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Published
2018-07-24
How to Cite
1.
Kalantar SS, amrzargar nasbeh, Ranji Burachaloo S. An Unusual Presentation of Cerebral Vein Thrombosis: A 40-Year-Old Woman with Acute Intractable Cervical Pain and Lateral Neck Bending. CRCP. 3(1):30-4.
Section
Case Report(s)