Fatal superior sagittal sinus thrombosis with ulcerative colitis: A case report

  • Kaku Shougo
    Department of Neurosurgery, National Hospital Organization Yokohama Medical Center
  • Iwamoto Tetsuaki
    Neurosurgical Institute of Higashi-Yokohama Hospital
  • Honma Hideki
    Neurosurgical Institute of Higashi-Yokohama Hospital
  • Jimi Yasutaka
    Neurosurgical Institute of Higashi-Yokohama Hospital
  • Kaku Suiei
    Neurosurgical Institute of Higashi-Yokohama Hospital
  • Abe Toshiaki
    Department of Neurosurgery, Jikei University School of Medicine

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Other Title
  • 潰瘍性大腸炎を合併し転帰不良であった上矢状静脈洞血栓症の1例

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Abstract

A 43-year-old woman with a 1.5-year history of ulcerative colitis was admitted to our hospital complaining of headache and left hemiparesis. Computed tomography revealed a low-density area in the right fronto-parietal lobe. Magnetic resonance imaging disclosed a high signal intensity area in the right fronto-parietal lobe on T2- and diffusion-weighted images. Primarily, we treated this patient as cerebral infarction, brain tumor, or inflammatory disease. However, her symptoms deteriorated rapidly, and urgent cerebral angiography revealed an obstruction of the superior sagittal sinus. Cerebral venous thrombosis occurring in patients with ulcerative colitis is very rare in Japan. Nevertheless, we should consider the possibility of cerebral venous thrombosis in ulcerative colitis patients who suffer from symptoms like strokes.<br>

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