NDLI: Intracerebral Hemorrhage due to Venous Thrombosis of Developmental Venous Anomaly during Pregnancy.

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Intracerebral Hemorrhage due to Venous Thrombosis of Developmental Venous Anomaly during Pregnancy.

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Intracerebral Hemorrhage due to Venous Thrombosis of Developmental Venous Anomaly during Pregnancy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Seki, Morinobu Shibata, Mamoru Itoh, Yoshiaki Suzuki, Norihiro
Description	Author Affiliation: Seki M ( Department of Neurology, Keio University School of Medicine, Tokyo, Japan. Electronic address: sekimori709@gmail.com.); Shibata M ( Department of Neurology, Keio University School of Medicine, Tokyo, Japan.); Itoh Y ( Department of Neurology, Keio University School of Medicine, Tokyo, Japan.); Suzuki N ( Department of Neurology, Keio University School of Medicine, Tokyo, Japan.)
Abstract	BACKGROUND: Nowadays, developmental venous anomaly (DVA) is recognized as the most common cerebral vascular malformation. Most DVAs are diagnosed incidentally on routine brain imaging, but they are occasionally symptomatic. We report the case of a 26-year-old Japanese woman with intracerebral hemorrhage due to venous thrombosis of DVA. METHODS: We examined her neurologic examinations carefully. We also observed her laboratory data, brain computed tomography (CT), and magnetic resonance imaging (MRI) findings. RESULTS: She was 8 weeks pregnant and suffered from nausea, vomiturition, and appetite loss because of hyperemesis gravidarum. She presented with a sudden generalized seizure and was referred to our hospital. Brain CT showed a small hemorrhage and a tubular high-density structure compatible with an acutely thrombosed collecting vein in the right frontal lobe. T2*-weighted MRI also revealed a thrombosed collecting vein along with multiple medullary veins, which looked like caput medusa. She was diagnosed with an intracerebral hemorrhage and symptomatic epilepsy secondary to thrombosis of the DVA. After the acute phase of the disease, systemic anticoagulation therapy was administered to the patient to prevent the recurrence of venous thrombosis. We suspected that hyperemesis gravidarum with intravascular dehydration might have increased the risk of thrombosis in this patient. CONCLUSIONS: Thrombosis of the collecting vein of DVA is extremely rare. This is the first report regarding DVA thrombosis during pregnancy, to our knowledge.
File Format	HTM / HTML
ISSN	10523057
Issue Number	7
Volume Number	24
e-ISSN	15328511
Journal	Journal of Stroke and Cerebrovascular Diseases
Language	English
Publisher	Elsevier
Publisher Date	2015-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Pregnancy Complications, Cardiovascular Humans Hyperemesis Gravidarum Venous Thrombosis Dehydration Journal Article Case Reports Etiology Discipline Cardiology Adult Female Diagnosis Anticoagulants Cerebral Hemorrhage Complications Abnormalities Risk Factors Tomography, X-ray Computed Drug Therapy Cerebral Veins Therapeutic Use Pregnancy Magnetic Resonance Imaging Central Nervous System Vascular Malformations Cerebral Angiography Methods Intracranial Thrombosis
Content Type	Text
Resource Type	Case study Article
Subject	Rehabilitation Neurology (clinical) Surgery Cardiology and Cardiovascular Medicine

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