Cerebral vein thrombosis misdiagnosed and mismanaged.

Thrombosis
P K Sasidharan

Abstract

Cerebral venous thrombosis (CVT) should be considered in the differential diagnosis of all unexplained CNS disorders of sudden onset. Etiological factors are often subclinical forms of several common thrombophilic states occurring together, rather than the typical inherited and rare causes. Diagnosis is missed because of the heterogeneity in clinical presentation and etiological factors. In several patients with the so called idiopathic CVT nutritional deficiencies and lifestyle issues are more important factors in pathogenesis, rather than single rarer causes. High index of suspicion is the key to diagnosis. Clinical skill has to be fine tuned to diagnose the problem and to identify all the etiological factors. Radiology is essential for diagnosis but relying on radiology alone will lead to missing several cases and even erroneous diagnosis. It is inappropriate to proceed prematurely to laboratory investigations, forgetting proper clinical evaluation by studying diet, lifestyle, and environment of the patients. Success in managing lies in identifying all the contributory causes and correcting all of them giving excellent outcome almost always. Clinical observations based on case series and sharing of such information alone are...Continue Reading

References

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Citations

Dec 19, 2013·Journal of Neurosciences in Rural Practice·Hernando Raphael Alvis-MirandaLuis Rafael Moscote-Salazar
Dec 19, 2013·Journal of Neurosciences in Rural Practice·Malika Boucelma
Mar 23, 2013·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·Navin PaiShrimati Shetty
Sep 4, 2013·Case Reports in Neurological Medicine·Jasem Yousef Al-HashelWalaa Ahmed
Aug 13, 2015·Medical Journal, Armed Forces India·J N GoswamiVikas Raj
Jul 19, 2016·The International Journal of Neuroscience·Hui Fang WangQiang Shi
Nov 5, 2016·QJM : Monthly Journal of the Association of Physicians·Y-C LoC-W Hsu
Nov 17, 2017·BMJ Case Reports·Mandreker Bahall, Manisha Santlal
Jun 22, 2019·QJM : Monthly Journal of the Association of Physicians·P-H LiaoC-H Kao
Nov 14, 2015·The Neurologist·Salma I PatelFadi E Shamoun
Nov 23, 2016·Case Reports in Neurological Medicine·P KhanalU P Devkota
Feb 23, 2019·BMC Ophthalmology·Yaran KobanNergiz Huseyinoglu
Oct 22, 2020·British Journal of Neurosurgery·Md Moshiur RahmanRobert Ahmed Khan
Apr 15, 2016·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Gentle Sunder ShresthaNiranja Acharya
Jul 14, 2021·Neurología : publicación oficial de la Sociedad Española de Neurología·A ArauzF Serrano

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Methods Mentioned

BETA
hormone
ESR
electrophoresis

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