Bilateral Jugular Vein and Sigmoid Sinus Thrombosis Related to an Inherited Coagulopathy: An Unusual Presentation
Internal jugular vein thrombosis (IJVT) is a rare condition associated with malignancy, coagulopathy, and trauma. The optimal management of any IJVT must be individualized and depends on the condition of the patient. Case Presentation. We report the case of a 42-year-old woman with a history of a fi...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/873402 |
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| author | Özge Altıntaş Azize Esra Gürsoy Gözde Baran Elnur Mehdi Talip Asil |
| author_facet | Özge Altıntaş Azize Esra Gürsoy Gözde Baran Elnur Mehdi Talip Asil |
| author_sort | Özge Altıntaş |
| collection | DOAJ |
| description | Internal jugular vein thrombosis (IJVT) is a rare condition associated with malignancy, coagulopathy, and trauma. The optimal management of any IJVT must be individualized and depends on the condition of the patient. Case Presentation. We report the case of a 42-year-old woman with a history of a first trimester spontaneous abortion. Apart from a tension-type headache, she had no neurological symptoms. She reported an incidental diagnosis of right-sided IJVT when she was evaluated for hyperthyroidism ultrasonographically. On ultrasonography, we observed bilateral jugular vein thrombosis. The patient was started on oral warfarin. Seven months later, when she was adequately anticoagulated, she developed a second thrombosis. According to the etiological workup, she had a mutation in the homozygous methylene tetrahydrofolate reductase (MTHFR) gene and reduced protein C levels and activity. Conclusion. This report illustrates an unusual presentation of a rare condition. In this case, the etiology was associated with the coagulopathy, which occurred despite adequate anticoagulation. |
| format | Article |
| id | doaj-art-b9315b6703c842a69cb2c66c368c7858 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-b9315b6703c842a69cb2c66c368c78582025-02-03T05:51:32ZengWileyCase Reports in Vascular Medicine2090-69862090-69942014-01-01201410.1155/2014/873402873402Bilateral Jugular Vein and Sigmoid Sinus Thrombosis Related to an Inherited Coagulopathy: An Unusual PresentationÖzge Altıntaş0Azize Esra Gürsoy1Gözde Baran2Elnur Mehdi3Talip Asil4Department of Neurology, Medical Faculty, Bezmi Alem Vakıf University, Adnan Menderes Boulevard, Fatih, 34093 Istanbul, TurkeyDepartment of Neurology, Medical Faculty, Bezmi Alem Vakıf University, Adnan Menderes Boulevard, Fatih, 34093 Istanbul, TurkeyDepartment of Neurology, Medical Faculty, Bezmi Alem Vakıf University, Adnan Menderes Boulevard, Fatih, 34093 Istanbul, TurkeyDepartment of Radiology, Medical Faculty, Bezmi Alem Vakıf University, Adnan Menderes Boulevard, Fatih, 34093 Istanbul, TurkeyDepartment of Neurology, Medical Faculty, Bezmi Alem Vakıf University, Adnan Menderes Boulevard, Fatih, 34093 Istanbul, TurkeyInternal jugular vein thrombosis (IJVT) is a rare condition associated with malignancy, coagulopathy, and trauma. The optimal management of any IJVT must be individualized and depends on the condition of the patient. Case Presentation. We report the case of a 42-year-old woman with a history of a first trimester spontaneous abortion. Apart from a tension-type headache, she had no neurological symptoms. She reported an incidental diagnosis of right-sided IJVT when she was evaluated for hyperthyroidism ultrasonographically. On ultrasonography, we observed bilateral jugular vein thrombosis. The patient was started on oral warfarin. Seven months later, when she was adequately anticoagulated, she developed a second thrombosis. According to the etiological workup, she had a mutation in the homozygous methylene tetrahydrofolate reductase (MTHFR) gene and reduced protein C levels and activity. Conclusion. This report illustrates an unusual presentation of a rare condition. In this case, the etiology was associated with the coagulopathy, which occurred despite adequate anticoagulation.http://dx.doi.org/10.1155/2014/873402 |
| spellingShingle | Özge Altıntaş Azize Esra Gürsoy Gözde Baran Elnur Mehdi Talip Asil Bilateral Jugular Vein and Sigmoid Sinus Thrombosis Related to an Inherited Coagulopathy: An Unusual Presentation Case Reports in Vascular Medicine |
| title | Bilateral Jugular Vein and Sigmoid Sinus Thrombosis Related to an Inherited Coagulopathy: An Unusual Presentation |
| title_full | Bilateral Jugular Vein and Sigmoid Sinus Thrombosis Related to an Inherited Coagulopathy: An Unusual Presentation |
| title_fullStr | Bilateral Jugular Vein and Sigmoid Sinus Thrombosis Related to an Inherited Coagulopathy: An Unusual Presentation |
| title_full_unstemmed | Bilateral Jugular Vein and Sigmoid Sinus Thrombosis Related to an Inherited Coagulopathy: An Unusual Presentation |
| title_short | Bilateral Jugular Vein and Sigmoid Sinus Thrombosis Related to an Inherited Coagulopathy: An Unusual Presentation |
| title_sort | bilateral jugular vein and sigmoid sinus thrombosis related to an inherited coagulopathy an unusual presentation |
| url | http://dx.doi.org/10.1155/2014/873402 |
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