Ritu Shende , Dharti Meshram , Indu Alwadkar , Ashish Bhagat4 , Pratiksha Munjewar
Abstract
Background: CVT (Cerebral venous and sinus thrombosis) can cause a range of clinical signs, from a single
headache to a deep coma.The scenario is better than before assumed, with prospective trials reporting an
independent survival rate of more than 80% of patients.CVT is a difficult illness to diagnose because of the wide
range of clinical symptoms and indications. It is frequently unrecognized at the outset. Contraceptive pills are also a
significant hazard factor.Medical manifestations range from headache with papilledema, to impairment of focal, and
coma.
Presentation of case A 17-year-old male was admitted to Tertiary care Hospital with the chief complaint of, nausea,
vomiting, headache, papilledema in the last 5 days or two episodes of seizures, and breathlessness. All necessary
investigation was done such as history collection patient had a history of head injury before 7-month, physical
examination done, all investigation done such as measured intracranial pressure increased that is 18 mmHg, urgent
neuroimaging to use CT to confirm the diagnosis, CT shows the classic "delta sign," the thrombus directly, show
impaired venous flow.venography of CT can reveal missing flow in thrombosed veins or sinuses, as well as
partimprovement circumferential in sinuses thrombosed venous. A doctor diagnosed cerebral venous sinus
thrombosis.The patient received symptomatic treatment such as anticoagulant therapy, and anticonvulsant therapy
for the control of seizures. Fibrinolysis, heparin, aspirin, dipyridamole in. Levi, Inj. Pantoprazole, Inj. Optineurin,
Inj. Emset, Inj. Mannitol. The severity of the Symptoms was minimized.He suffered from convulsive status and was
administered intravenous lorazepam and phenytoin.
Discussion: The patient received the symptomatic treatment and the patient's condition is stable.It isan uncommon
condition. According to research, the incidence is between 1.32 and 1.57 per 100 000.Women are more likely than
men to suffer from this condition, which is particularly widespread in the younger generation.
Keywords
Fibrinolysis, Thromboembolism, Embolism, Delta sign, Stork, Anticoagulant.