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Transient ischaemic attack: an exceptional presenting syndrome of a superior sagittal sinus thrombosis

We report a case of a transient ischaemic attack (TIA) as an exceptionally rare form of cerebral vein thrombosis. A 41-year-old man presented with a headache and five episodes of a transient left hemiparesis lasting approximately 10–15 min over the course of 2 weeks. Arterial origins of the disease...

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Bibliographic Details
Published in:BMJ Case Reports 2013, Vol.2013
Main Authors: Scuotto, Assunta, D'Avanzo, Raffaele, Natale, Massimo, Rotondo, Michele
Format: Report
Language:English
Online Access:Get full text
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Summary:We report a case of a transient ischaemic attack (TIA) as an exceptionally rare form of cerebral vein thrombosis. A 41-year-old man presented with a headache and five episodes of a transient left hemiparesis lasting approximately 10–15 min over the course of 2 weeks. Arterial origins of the disease were ruled out by detailed investigations. However, MR venography revealed a superior sagittal sinus thrombosis with numerous prominent collateral venous channels. No parenchymal lesion was seen. After medical therapy, no further transient neurological deficit occurred. Follow-up MR venography showed sinus recanalisation.
ISSN:1757-790X
DOI:10.1136/bcr-2013-200894