Cerebral Venous Thrombosis in a Patient with Clinically Isolated Spinal Cord Syndrome
Author(s) -
Jasem Al-Hashel,
Samar Farouk Ahmed,
K. John Alexander,
Walaa Ahmed
Publication year - 2013
Publication title -
case reports in neurological medicine
Language(s) - English
Resource type - Journals
eISSN - 2090-6668
pISSN - 2090-6676
DOI - 10.1155/2013/364869
Subject(s) - medicine , lumbar puncture , multiple sclerosis , venous thrombosis , anesthesia , intracranial thrombosis , lumbar , methylprednisolone , spinal cord , spinal puncture , surgery , thrombosis , cerebrospinal fluid , psychiatry
Background . The association between cerebral venous thrombosis (CVT) and multiple sclerosis (MS) has already been reported in patients with clinically definite MS in relation to intravenous methylprednisolone (IVMP) or previously performed lumbar puncture (LP). Case Summery . We report a 29-year-old Indian female who presented with a clinically isolated spinal cord syndrome according to the revised 2010 McDonald Criteria. She developed CVT after a lumbar puncture and two days of finishing the course of IVMP. Conclusion . We conclude that the sequence of doing lumbar puncture followed by high-dose IVMP may increase the risk of CVT. A prophylactic anticoagulation may be indicated in this setting.
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