We present a case of of young 27year male who was admitted with history of headache and vomiting for one week. He was diagnosed as having dural sinus thrombosis of superior sagittal, right lateral, right sigmoid sinus. There was previous history of uveitis 6 months prior to it. All thrombophilia workup was negative except homocysteine levels were moderately high. He was also found to be having recurring genital and oral ulcers. Pathergy test was negative. His HLA B 51/5 testing came back positive. Final diagnosis of Bechet’s disease was made and responded well to long term steroids and Colchicine. A multisystem vasculitis like Bechet’s disease should always be thought in patients with venous thrombosis with negative thrombophilia screening and recurrent oral and genital ulcers.
Niazi, Farheen and Riaz, Saadia
"An uncommon and elusive cause of cerebral venous thrombosis,"
Pakistan Journal of Neurological Sciences (PJNS): Vol. 13
, Article 3.
Available at: https://ecommons.aku.edu/pjns/vol13/iss2/3