Open AccessAnomia and Mild Headache: A Subtle Presentation of Cerebral Venous Thrombosis
Author(s) -
Kuan WS
Publication year - 2014
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490791402100307
Subject(s) - medicine , thrombosis , thrombus , radiology , emergency department , computed tomography , presentation (obstetrics) , aphasia , sigmoid sinus , sinus (botany) , intracranial thrombosis , venous thrombosis , surgery , botany , psychiatry , biology , genus
A 52‐year‐old lady presented to the emergency department with mild headache and anomic aphasia progressing to expressive aphasia. Computed tomography (CT) scan of the brain revealed parenchymal haemorrhage in the left temporoparietal region and suspicion of a left transverse sinus thrombosis. CT venogram of the brain showed extensive thrombus at the left transverse sinus, sigmoid sinus and internal jugular vein. This rare condition should be considered in CT scan showing haemorrhagic changes. Anti‐coagulation is the mainstay of treatment of this once highly deadly disease. (Hong Kong j.emerg.med. 2014;21:172‐175)