SUBDURAL EFÜZYON VENÖZ SİNÜS TROMBOZUNUN İŞARETİ OLABİLİR

Öz

ÖZET

Serebral venöz sinüs trombozu (SVST), nadir bir strok formudur. En sık radyolojik bulgula- rı, dural sinüs veya kortikal venlerde trombüs, parankimal hemorajik infarkt, hemorajinin eşlik ettiği veya etmediği fokal ödemdir. Bununla birlikte, literatür gözden geçirildiğinde, az sayıda SVST olgusunun subdural efüzyon ile birliktelik göstermektedir. Biz, 17 yaşında- ki lösemi hastası bir kız çocuğunda subdural efüzyonun eşlik ettiği süperior sagittal sinüs ve kortikal ven trombozunu sunuyoruz.

Anahtar kelimeler: Intrakraniyal sinüs trombozu; Subdural efüzyon; Manyetik rezonans
görüntüleme

ABSTRACT

Cerebral  venous  sinus  thrombosis  (CVST)  is  an  uncommon  form  of  strokes.  The most common radiological findings are thrombus in the dural sinus or cortical veins, paranchimal hemorrhagic infarctions, focal edema with or without hemorrhage. However, in a review of the literature, only a few cases of CVST were associated with subdural effusion. We report superior sagital sinus and cortical veins thrombosis with bilateral subdural effusion in a 17 year-old girl with leukemia.

Keywords: Intracranial Sinus Thrombosis; Subdural effusion; Magnetic resonance imaging

Anahtar Kelimeler

• Intrakraniyal sinüs trombozu,Subdural efüzyon; Manyetik rezonans

Öz

Cerebral venous sinus thrombosis (CVST) is an uncommon form of strokes. The most common radiological findings are thrombus in the dural sinus or cortical veins, paranchimal hemorrhagic infarctions, focal edema with or without hemorrhage. However, in a review of the literature, only a few cases of CVST were associated with subdural effusion. We report superior sagital sinus and cortical veins thrombosis with bilateral subdural effusion in a 17 year-old girl with leukemia

Anahtar Kelimeler

• Intracranial Sinus Thrombosis,Subdural effusion; Magnetic resonance

Kaynakça

1. Boussier MG, Ferro JM. Cerebral venous thrombosis: an update. Lancet Neurol. 2007;6 (2):162–70.
2. Saposnik G, Barinagarrementeria F, Brown RD Jr, et al. American Heart Association Stroke Council and the Council on Epidemiology and Prevention.Diagnosis and management of cerebral venous thrombosis: A statement for healthcare professionals from the American Heart Association/ American Stroke Association. Stroke. 2011;42 (4):1158–92.
3. McLean LA, Frasier LD, Hedlund GL. Does intracranial venous thrombosis cause subdural hemorrhage in the pediatric population? Am J Neuroradiol. 2012;33 (7):1281-4.
4. Akins PT, Axelrod YK, Ji C, et al. Cerebral venous thrombosis complicated by subdural hematomas: Case series and literature review. Surgical Neurology International. 2013;4(1): 85.
5. Singh S, Kumar S, Joseph M, et al. Cerebral venous sinus thrombosis presenting as subdural hematoma. Australas Radiol. 2005;49 (2):101–3.
6. Bucy PC, Lesemann FJ. Idiopathic recurrent thrombophlebitis with cerebral venous thromboses and an acute subdural hematoma. JAMA. 1942;119 (3):402–5.
7. Matsuda M, Matsuda I, Sato M, Handa J. Superior sagittal sinus thrombosis followed by subdural hematoma. Surg Neurol. 1982;18 (2):206–11.
8. Takamura Y, Morimoto S, Uede T, et al. Cerebral venous sinus thrombosis associated with systemic multiple hemangiomas manifesting as chronic subdural hematoma- Case report. Neurol Med Chir (Tokyo) 1996;36 (9):650–3.

9. Chu K, Kang DW, Kim DE, Roh JK. Cerebral venous thrombosis associated with tentorial subdural hematoma during oxymetholone therapy. J Neurol Sci. 2001;185 (1):27–30.
10. Sirin NG, Yesilot N, Ekizoglu E, et al. A case report of cerebral venous thrombosis in polycythemia vera presenting with intracranial and spinal subdural hematoma. Case Rep Neurol. 2010;2 (1):37–45.
11. Takahashi S, Shinoda J, Hayashi T. Cerebral venous sinus thrombosis in an adult patient presenting as headache and acute subdural hematoma. J Stroke Cerebrovasc Dis. 2012;21 (4):338–40. ŞİMŞEK ve ark. Subdural Efüzyon