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Rare disease
CASE REPORT
Isolated cortical venous thrombosis after fetal demise
  1. Mohammad Al-Jundi1,
  2. Ghassan Al-Shbool1,
  3. Mohamad Muhailan1,
  4. Moutasem Aljundi2 and
  5. Christian J Woods1
  1. 1 Department of Medicine, MedStar Georgetown University Hospital MedStar Washington Hospital Center Internal Medicine Residency Program, Washington, DC, USA
  2. 2 Department of Radiology, MedStar Georgetown University Hospital, Washington, DC, USA
  1. Correspondence to Dr Mohammad Al-Jundi, aljundi.mohammad{at}gmail.com

Abstract

Isolated cortical venous thrombosis (ICVT) occurring in the absence of dural venous thrombosis, constitutes about 2%–5% of all cerebral venous thrombosis. Its vague, non-specific presentation makes it a difficult and challenging diagnosis that needs an extensive workup especially in young patients. Outcome and prognosis depend mainly on early diagnosis and treatment. Here we discuss the clinical presentation, diagnosis and the treatment of a young woman diagnosed with ICVT with acute ischaemic venous stroke, in the setting of eclampsia and family history of coagulation disease.

  • Venous Thromboembolism
  • Haematology (drugs And Medicines)
  • Pregnancy

https://doi.org/10.1136/bcr-2018-228484

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    Footnotes

    • Contributors MA-J and GA-S admitted the patient to the hospital. MM worked in a medical team that was consulted to take care of the patient. MA-J, GA-S, MM, MA and CJW wrote the case presentation, investigations and outcome /follow-up. MA-J, GA-S, MM, MA and CJW worked on the discussion and medical literature review.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.