Neurológia pre prax 2/2023

Cerebral venous sinus thrombosis cause of stroke in a 70-year‑old patient

Although cerebral venous thrombosis is rare, it is a serious and often overlooked diagnosis. Due to the wide range of non-specific clinical symptoms, diagnosis is often difficult. In the last decade, patient mortality has been significantly reduced by improvements in treatment and diagnosis techniques and higher awareness of this diagnosis. In our case, we present a 70-year-old patient in whom cerebral venous thrombosis first manifested as a symptomatic epileptic seizure and was diagnosed thanks to anamnestic data, clinical symptoms and neuroimaging methods. The patient’s conditions improved after anticoagulant therapy and treatment of the epileptic seizure. The goal of the article is to describe the diversity of the clinical picture of cerebral venous thrombosis and highlight the good prognosis of the patient if treatment is started early.

Keywords: cerebral venous sinus thrombosis, cerebral venous infarction, symptoms of cerebral venous thrombosis