Cerebral venous sinus thrombosis presenting with subarachnoid hemorrhage and intracerebral hemorrhage: a case report

Abstract

Objective: To explore the clinical and pathological characteristics of cerebral venous sinus thrombosis (CVST) with subarachnoid hemorrhage (SAH) and intracerebral hemorrhage (ICH), and to investigate the diagnosis, radiographic changes, and prognosis over the course of treatment. Methods: The clinical data and radiographic findings of a young male CVST patient, who presented with initial symptoms of SAH and ICH, were collected and analyzed. The relevant literature was also reviewed. Results: The patient had no specific clinical symptoms except for headache. The brain computed tomography (CT) scan revealed SAH, a high-density shadow in the right posterior fossa and cerebellar hemisphere, and ICH in the left frontal lobe. Magnetic resonance venography (MRV) further revealed bilateral thrombosis in the transverse and sigmoid sinuses. Conclusion: CVST with SAH and ICH is rare and difficult to diagnose. Careful radiological study and clinical analysis are important for the correct and early diagnosis of this condition. Anticoagulation therapy is considered the primary treatment for CVST.

Keywords

anticoagulation / cerebral venous sinus thrombosis / intracranial hemorrhage / subarachnoid hemorrhage.