Abstract Isolated internal cerebral vein thrombosis is a rare occurrence. It is generally associated with severe neurologic deficits leading to death. The case described in this report suggests that it can occur without catastrophic symptoms and with only minor sequelae. REPORT OF A CASE A 29-year-old, right-handed man, with a 30-month history of intermittent neurologic abnormalities, had a right facial weakness diagnosed as Bell's palsy in August 1978. His condition was treated with prednisone; the weakness resolved in several days. After a symptom-free interval of about two weeks, he noted increasing fatigue and headache during the new two months. In November, the headaches were severe, he became somnolent and confused, and memory deficits and intermittent vomiting developed. During this time, he had a right-sided facial weakness lasting one day, two brief episodes of dysphasia, alternating left and right hemiparesthesias, and a 24-hour episode of right 24-hour paresis, all of which occurred References 1. Bots GTAM: Thrombosis of the galenic system veins in the adult . Acta Neuropath 1971;17:227-233.Crossref 2. Filippa VG, Regli F, Yasargil MG: Beitrag zur Diagnostik der inneren Hirnvenenthrombose . MMW 1967;109:691-698. 3. Eick JJ, Miller KD, Bell KA, et al: Computed tomography of deep cerebral venous thrombosis in children . Radiology 1981;140:399-402.Crossref 4. Johnsen S, Greenwood R, Fishman MA: Internal cerebral vein thrombosis . Arch Neurol 1973;28:205-207.Crossref 5. Krayenbuhl HA: Cerebral venous and sinus thrombosis . Clin Neurosurg 1967;14:1-24. 6. Van Rey VW: Zur Klinik des Thrombotischen Verschlusses tiefer Hirnvenen . Nervenarzt 1960;31:30-32. 7. Wendling LR: Intracranial venous sinus thrombosis: Diagnosis suggested by computed tomography . AMR 1978;130:978-980. 8. Krayenbühl HA, Yasargil MG, (eds): Cerebral Angiography . Philadelphia, JB Lippincott Co, 1968.
Archives of Neurology – American Medical Association
Published: Jul 1, 1982
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