A 35-year-old woman with ulcerative colitis was transferred to our hospital because of 2-day history of altered mental status and headache. Apparently, 2 weeks prior to the transfer she had been having increased nausea, vomiting, and diarrhea. She was diagnosed and reported with extensive thrombosis of the intracranial venous system. There was thrombosis of internal cerebral veins, the superior...

Intracranial complications of chronic otitis media have been on the decline with advent of antibiotics. Septic thrombosis of the sigmoid sinus is rarer compared to commoner complications such as otogenic brain abscesses and meningitis. This patient presented with recurrent infection after left mastoidectomy secondary to cholesteatoma and a contralateral internal jugular vein thrombosis with par...

BACKGROUND Cerebral venous sinus thrombosis is a common but highly under-recognised condition, which is missed not only by general practitioners but also by neurologists. Computerised tomography (CT) or magnetic resonance imaging (MRI) of brain alone is not sufficient to diagnose this condition. Objective of this study was to explore the pattern of magnetic resonance imaging (MRI) and magnetic ...

BACKGROUND Estimations of D-dimer correlate with deep vein thrombosis and pulmonary thromboembolism and may serve as a marker of cortical venous sinus thrombosis (CVST). AIM To study the usefulness of D-dimer in the diagnosis of CVST. MATERIALS AND METHODS A total of 26 patients with CVST were subjected to a detailed medical history and neurological evaluation. A cranial MRI was carried out...

Extraskeletal Ewing's sarcoma is rarely found in the head and neck regions. We report an unusual case of extraskeletal Ewing's Sarcoma of the parapharynx region in a 49-year-old man who presented with blindness. MRI examination showed marked enhancement of tumor thrombosis involving the superior sagittal sinus, straight sinus, transverse sinus, sigmoid sinus, and internal jugular vein. The fina...

Purpose. Collet-Sicard syndrome is a very rare condition characterised by unilateral palsy of the IX-XII cranial nerves. It is distinguished from Villaret syndrome by lack of presence of sympathetic involvement. Current literature contains only two cases of Collet-Sicard syndrome due to idiopathic internal jugular vein thrombosis. Method and Results. We report the case of Collet-Sicard syndrome...

A middle aged lady presented with fever, generalized tiredness and dysphagia. Neurological evaluation revealed weakness of pharyngeal muscles, uvula,palate with absent gag reflex and a weak sternocleidomastoid muscle. Involvement of 9,10,11,12 cranial nerves in the absence of Horner’s syndrome confirmed the diagnosis of Collet-Sicardsyndome. MR imaging studies revealed a Sigmoid Sinus Thrombosi...

We describe the case of a 28-year-old obtunded woman who presented with bilateral anterior parietal lobe cortical hemorrhages associated with thrombosis of the superior sagittal sinus, both transverse and sigmoid sinuses, and multiple cortical veins draining into the sagittal sinus. Initial heparin therapy was not effective. A combination of AngioJet rheolytic catheter thrombectomy, balloon ang...