Cerebral Dural Sinus Thrombosis Associated with Adenomyosis: A Case Report

Kenya Nishioka, Nishioka K, Ryota Tanaka, Tanaka R, Satoshi Tsutsumi, Tsutsumi S, Yamashiro K, Kazuo Yamashiro, Nakahara M, Mariko Nakahara, Hideki Shimura, Shimura H, Nobutaka Hattori, Takao Urabe, Urabe T
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2014 · vol. 23(7) , pp. 1985–1987 · doi:10.1016/j.jstrokecerebrovasdis.2014.01.027 · PMID:24794947 · W2027554969
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This case report describes a patient who developed cerebral dural sinus thrombosis, a condition of blood clots in the brain's venous sinuses, in association with adenomyosis, a benign uterine condition.

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Abstract

We report a case of cerebral venous thrombosis (CVT) associated with a giant adenomyosis. At admission, the patient demonstrated generalized seizures and consciousness disturbance. Brain fluid-attenuated inversion recovery magnetic resonance imaging revealed a localized, high-intensity region in the left frontal lobe. Subsequent brain angiography showed that right internal carotid angiograms display abrupt termination of the anterior half of the superior sagittal sinus and a filling defect in the lateral part of the left transverse sinus. The patient complicated with iron deficiency anemia (IDA) and adenomyosis with higher levels of serum carbohydrate antigen 125 (CA125) and d-dimer. After 1 year from onset, intermittent severe menalgia and headache persisted, and blood examination revealed abnormal values; the patient was receiving oral medications. Finally, adenomyosis resection was performed with a favorable outcome, and no recurrence was observed during the 2-year follow-up period. We conclude that IDA and increased CA125 levels may have promoted hypercoagulability and CVT. This report emphasizes the possible relationship between CVT and adenomyosis.

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Condition tags

adenomyosis

MeSH descriptors

Adenomyosis Sinus Thrombosis, Intracranial Adenomyosis Adenomyosis Anemia, Hypochromic Anemia, Hypochromic Anemia, Hypochromic Female Humans Middle Aged Platelet Aggregation Inhibitors Platelet Aggregation Inhibitors Seizures Seizures Sinus Thrombosis, Intracranial Sinus Thrombosis, Intracranial Treatment Outcome Venous Thrombosis Venous Thrombosis Venous Thrombosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (10)

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