Anemia: An Uncommon Cause of Cerebral Venous Sinus Thrombosis

AKU Student

no

Authors

Iqra Athar, PAF Hospital, Islamabad
Afrah Malik, PAF Hospital, Islamabad
Neelma Naz Khattak, Pakistan Institute of Medical Sciences, Islamabad
Tashfain Shifa, Pakistan Institute of Medical Sciences, Islamabad
Zukhruf Zayian, Pakistan Institute of Medical Sciences, Islamabad

Document Type

Case Report

Abstract

Cerebral venous sinus thrombosis (CVST) is a multifactorial illness seen more commonly in females as compared to males. Its diagnosis is often delayed due to variable clinical presentations. It is now identified more often due to advancements in neuroimaging modalities. We present an uncommon case of CVST caused by anemia in a 23-year-old female. Our patient presented with complaints of headache since the past two days and left sided hemiplegia since past one day. Later on during her hospital stay she developed generalized tonic clonic seizures. MRI and MRV brain with contrast revealed right cerebral venous (vein of Trolard) thrombosis. Blood tests showed hypochromic microcytic anemia which was the likely precipitating factor in our case as thrombophilia factors were normal. Headache and focal neurological symptoms should raise suspicion of CVST in anemic patients. Early commencement of anticoagulation along with correction of underlying cause, anemia in this case, leads to better prognosis.

Recommended Citation

Athar, Iqra; Malik, Afrah; Khattak, Neelma Naz; Shifa, Tashfain; and Zayian, Zukhruf (2025) "Anemia: An Uncommon Cause of Cerebral Venous Sinus Thrombosis," Pakistan Journal of Neurological Sciences (PJNS): Vol. 20: Iss. 1, Article 2.
Available at: https://ecommons.aku.edu/pjns/vol20/iss1/2