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Nörolojik Bulgu Olmadan Baş Ağrısı ile Seyreden Serebral Venöz Tromboz Olgusu

Year 2015, Volume: 5 Issue: 4, 215 - 219, 17.12.2015

Öner Özdemir Çağla Karavaizoğlu Engin Menekşe

Abstract

Serebral venöz tromboz klinik semptom ve bulgularının çeşitliliği nedeniyle başlangıçta tanı konulması zor olan bir hastalıktır. Yaklaşık % 30 olguda neden tespit edilemez. Klinik spektrum, izole baş ağrısından fokal defisit, nöbet ve komaya kadar değişebilir. Beynin magnetik rezonans görüntüleme (MRG) ve venografisi, ilk tercih edilecek görüntüleme yöntemleridir. Sadece hastaları bilgisayarlı tomografi (BT) çekerek değerlendirmek, vakaların atlanmasına neden olabilir. Burada 12 yaşında yaklaşık 3 haftadır baş ağrısı nedeniyle birden fazla dış merkez tarafından değerlendirilen ve beyin görüntülemelerinde patoloji bulunamayan bir hasta, beyin MRG’sinin kliniğimizde tekrar değerlendirilmesinde serebral venöz tromboz saptanması nedeniyle sunulmaktadır. Hastalığın klinik seyrinin değişken olması ve nonspesifik bulgularla başvurulabileceğinden tanı koymada güçlük yaşanabileceği unutulmamalıdır. (Sakarya Med J 2015, 5(4):215-219)

Anahtar Kelimeler: Serebral venöz tromboz, baş ağrısı, çocuk,  nöroradyolojik görüntüleme

Keywords

Serebral venöz tromboz baş ağrısı çocuk nöroradyolojik görüntüleme

References

  • Stam J. Current concepts: thrombosis of the cerebral veins and sinuses. N Engl J Med 2005; 352: 1791-8.
  • Bergui M, Bradac GB. Clinical picture of patients with cerebral venous thrombosis and patterns of dural sinus involvement. Cerebrovasc Dis 2003; 16: 211–6.
  • Heller C, Heinecke A, Junker R, Knöfler R, Kosch A, Kurnik K, et al. Cerebral venous thrombosis in children: a multifactorial origin. Circulation 2003;108: 1362-67.
  • Nomazulu Dlamini, Lori Biinghurst, Fenella J. Kirkham. Cerebral Venous Sinus (Sinovenous) Thrombosis in Children Neurosurg Clin N Am. 2010 Jul; 21(3-5): 511-527
  • Meyer MA. Cerebral sinovenous thrombosis. N Engl J Med. 2001;345:1777-8.
  • Canhão P, Ferro JM, Lindgren AG, Bousser MG, Stam J, Barinagarrementeria F; ISCVT Investigators. Causes and predictors of death in cerebral venous thrombosis. Stroke 2005;36: 1720- 5.
  • Wasay M, Bakshi R, Bobustuc G, Dubey N, Cheema Z, Dai A. Diffusion weighted magnetic resonance imaging in superior sagittal sinus thrombosis. J Neuroimaging 2002;12:267-9.
  • Fullerton HJ, Chetkovich DM, Wu YW, Smith WS, Johnston SC. Deaths from stroke in US children, 1979 to 1998. Neurology 2002;59:34-9.
  • Veber G, Andrew M and the Canadian Pediatric Ischemic Stroke Study Group. The epidemiology and outcome of sinovenous thrombosis in pediatric patients. N Engl J Med. 2001; 345: 417–23.
  • Sethi P, Jones ST, Valenzuela AA. Septic cavernous sinus thrombosis with diffuse spread leading to cerebral ischemia. Orbit 2013;32:330-2.
  • Seung WB, Kim DY, Kim JW, Park YS. Fatal septic internal jugular vein-sigmoid sinus thrombosis associated with a malpositioned central venous catheter. J Korean Neurosurg Soc 2013;53:183-6.
  • Kojan S, Al-Jumah M. Infection related cerebral venous thrombosis. J Pak Med Assoc 2006;56:494-7.
  • Sébire G, Tabarki B, Saunders DE, Leroy I, Liesner R, SaintMartin C. Cerebral venous sinus thrombosis in children: risk factors, presentation, diagnosis and outcome. Brain 2005;128: 477- 89.
  • Hameed B, Syed NA. Prognostic indicators in cerebral venous sinus thrombosis. J Pak Med Assoc 2006;56:551-4.
  • Ferro JM, Canhao P, Stam J, Bousser MG, Barinagarrementeria F, for the ISCVT Investigators. Prognosis of cerebral vein and dural sinus thrombosis: Results of the international study on cerebral vein and dural sinus thrombosis (ISCVT). Stroke 2004;35: 664-70.
  • Sidhom Y, Mansour M, Messelmani M, Derbali H, FekihMrissa N, Zaouali J, et al. Cerebral Venous Thrombosis: Clinical Features, Risk Factors, and Long-term Outcome in a Tunisian Cohort. J Stroke Cerebrovasc Dis 2014; 10523057(13):435-7.
  • Sher K, Shah S, Kumar S. Etiologic patterns of ischaemic stroke in young adults. J Coll Physicians Surg Pak 2013;23:472-5.

Year 2015, Volume: 5 Issue: 4, 215 - 219, 17.12.2015

Öner Özdemir Çağla Karavaizoğlu Engin Menekşe

Abstract

References

  • Stam J. Current concepts: thrombosis of the cerebral veins and sinuses. N Engl J Med 2005; 352: 1791-8.
  • Bergui M, Bradac GB. Clinical picture of patients with cerebral venous thrombosis and patterns of dural sinus involvement. Cerebrovasc Dis 2003; 16: 211–6.
  • Heller C, Heinecke A, Junker R, Knöfler R, Kosch A, Kurnik K, et al. Cerebral venous thrombosis in children: a multifactorial origin. Circulation 2003;108: 1362-67.
  • Nomazulu Dlamini, Lori Biinghurst, Fenella J. Kirkham. Cerebral Venous Sinus (Sinovenous) Thrombosis in Children Neurosurg Clin N Am. 2010 Jul; 21(3-5): 511-527
  • Meyer MA. Cerebral sinovenous thrombosis. N Engl J Med. 2001;345:1777-8.
  • Canhão P, Ferro JM, Lindgren AG, Bousser MG, Stam J, Barinagarrementeria F; ISCVT Investigators. Causes and predictors of death in cerebral venous thrombosis. Stroke 2005;36: 1720- 5.
  • Wasay M, Bakshi R, Bobustuc G, Dubey N, Cheema Z, Dai A. Diffusion weighted magnetic resonance imaging in superior sagittal sinus thrombosis. J Neuroimaging 2002;12:267-9.
  • Fullerton HJ, Chetkovich DM, Wu YW, Smith WS, Johnston SC. Deaths from stroke in US children, 1979 to 1998. Neurology 2002;59:34-9.
  • Veber G, Andrew M and the Canadian Pediatric Ischemic Stroke Study Group. The epidemiology and outcome of sinovenous thrombosis in pediatric patients. N Engl J Med. 2001; 345: 417–23.
  • Sethi P, Jones ST, Valenzuela AA. Septic cavernous sinus thrombosis with diffuse spread leading to cerebral ischemia. Orbit 2013;32:330-2.
  • Seung WB, Kim DY, Kim JW, Park YS. Fatal septic internal jugular vein-sigmoid sinus thrombosis associated with a malpositioned central venous catheter. J Korean Neurosurg Soc 2013;53:183-6.
  • Kojan S, Al-Jumah M. Infection related cerebral venous thrombosis. J Pak Med Assoc 2006;56:494-7.
  • Sébire G, Tabarki B, Saunders DE, Leroy I, Liesner R, SaintMartin C. Cerebral venous sinus thrombosis in children: risk factors, presentation, diagnosis and outcome. Brain 2005;128: 477- 89.
  • Hameed B, Syed NA. Prognostic indicators in cerebral venous sinus thrombosis. J Pak Med Assoc 2006;56:551-4.
  • Ferro JM, Canhao P, Stam J, Bousser MG, Barinagarrementeria F, for the ISCVT Investigators. Prognosis of cerebral vein and dural sinus thrombosis: Results of the international study on cerebral vein and dural sinus thrombosis (ISCVT). Stroke 2004;35: 664-70.
  • Sidhom Y, Mansour M, Messelmani M, Derbali H, FekihMrissa N, Zaouali J, et al. Cerebral Venous Thrombosis: Clinical Features, Risk Factors, and Long-term Outcome in a Tunisian Cohort. J Stroke Cerebrovasc Dis 2014; 10523057(13):435-7.
  • Sher K, Shah S, Kumar S. Etiologic patterns of ischaemic stroke in young adults. J Coll Physicians Surg Pak 2013;23:472-5.
There are 17 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Öner Özdemir

Çağla Karavaizoğlu This is me

Engin Menekşe This is me

Publication Date December 17, 2015
Submission Date December 17, 2015
Published in Issue Year 2015 Volume: 5 Issue: 4

Cite

AMA Özdemir Ö, Karavaizoğlu Ç, Menekşe E. Nörolojik Bulgu Olmadan Baş Ağrısı ile Seyreden Serebral Venöz Tromboz Olgusu. Sakarya Tıp Dergisi. December 2015;5(4):215-219.
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