A Case Report of Etiology of Cerebral Venous Sinus Thrombosis Developed After Spinal Anesthesia in Asteroid, Doping Using Young Athlete

Aylin Bican Demir, Gulfer Atasayar, Necdet Karli, Ozlem Taskapilioglu, Ferda Kahveci

Abstract


Cerebral venous thrombosis (SVT) was defined for the first time in 1875. It is a rare entity that can occur with different clinics. Superior sagittal sinus is affected most (70-80%), then transverse, sigmoid, and in a lesser extent, cavernous sinus involvement is seen. Cortical and cerebellar veins may also be involved. A 22-year-old male patient presented to the emergency room with mental confusion and seizures. According to the information received from his relatives, he was actively involved in sports for 2 years. That he was using amino acid weighted and high-energy multi-vitamin complexes within a day, and monthly having an injection called Deca-Durabolin: (nandrolone decanoate), is learned. One week before his coming to the hospital, that he had cruciate ligament surgery on his left knee and that spinal anesthesia was administered to him during the operation is determined. Thereafter, it is learnt that he had generalized tonic-clonic seizure and impairment of consciousness was added when he came to the hospital. During the patient’s neurologic examination in the emergency service, it is observed that his consciousness tended to fall asleep, and existing of bilateral papilledema and spontaneous movements in the right, and bilateral Babinski was positive. In brain computed tomography and magnetic resonance imaging (MRI) of the patient, in the left temporo-parieto-occipital hemorrhagic infarct and in venous MR angiography, in left transfer sinus, sigmoid sinus and jugular sinus complete thrombus, in right transfer and lateral sinus, reduction in blood stream and a view matched with thrombus were detected. On the 16th day of his hospitalization, brain death was determined in patient. At the arrival of the patient to the clinic, mental confusion, being male, to be accompanied by intracranial hemorrhage shows that poor prognosis.




J Neurol Res. 2014;4(1):37-40
doi: http://dx.doi.org/10.14740/jnr263w

Keywords


Cerebral venous sinus thrombosis; Spinal anesthesia; Steroid; Doping; Young athlete; Epilepsy

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