BMJ Case Reports 2011; doi:10.1136/bcr.07.2010.3186
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Cerebral venous sinus thrombosis associated with bulimia nervosa

  1. Saad A M Saeed2
  1. 1Department of Respiratory Medicine, Wasall Hospitals NHS Trust, Walsall, UK
  2. 2Department of Acute Medicine, Wasall Hospitals NHS Trust, Walsall, UK
  1. Correspondence to Saad A M Saeed, saadsaeed{at}


Central venous sinus thrombosis (CVST) is a rare cause of headache and stroke but has a wide clinical spectrum of presentations, including headache, seizures, focal neurological signs and alteration in consciousness, which can present in isolation or in various combinations. CVST is a difficult diagnosis to make in clinical practice but advances in neuroimaging allows for faster and more precise diagnosis, but it can still prove elusive. Non-infectious CVST are now more common that post-infectious, for which there are a variety of causes and risk factors in the clinical history that can suggest the diagnosis. The authors present a case that highlights the difficulty in diagnosis and identifies an association with a common eating disorder. A literature review discusses the complexities of presentation, aetiology, imaging and the current evidence on management.


  • Competing interests None.

  • Patient consent Obtained.

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