April - June 2011, Volume 7, Issue 2

Guney F, Gumus H, Emlik D, Kaya A

Diabetes Mellitus with Left Transverse and Sigmoid Sinus Thrombosis Extending into the Internal Jugular Vein

Acta Endo (Buc) 2011, 7 (2): 283-290
doi: 10.4183/aeb.2011.283

Background. Cerebral vein and sinus thrombosis (CVT) is less encountered, compared to arterial stroke. Commonly witnessed symptoms are headache, nausea, vomiting, confusion, aphasia, seizures, cranial nerve dysfunction and motor or sensorial deficits. The diagnosis is accurately determined by the help of MRI and MR venography. Multiple risk factors associated with CVT are present. Venous thrombosis tends to occur when there is an imbalance between prothrombotic and thrombolytic processes.\r\nCase report. In this report, a patient with CVT extending from left transverse and sigmoid sinuses to jugular vein and diagnosed with diabetes mellitus (DM) during this period\r\nwas discussed in light of literature. The 55-year-old man was evaluated in the neurology clinic with the complaints of headache, nausea, vomiting and blurred speech. On neurologic examination, he was diagnosed with sensorial aphasia and consequently, with DM over the hospital stay. On the cranial MR venography, CVT thrombosis was detected, extending from transverse and sigmoid sinuses to internal jugular vein. Decreased level of protein C and shortage of aPTT were\r\nfound. Anticoagulant treatment was carried out. All complaints were improved.\r\nConclusion. In our subject, the existence of decreased protein C and shortage of APTT, along with DM, is a situation to increase hypercoagulability and the risk of cerebral vein and sinus thrombosis.

Keywords: Cerebral venous sinus thrombosis, diabetes mellitus

Correspondence: Guney Figen, Selcuk University Meram Medical Faculty Dpt of Neurology Konya 42080, Turkey, Tel: +90 332 2236380, Fax: +90 332 3340492 Email:guneyfigen@yahoo.com.tr