Subarachnoid Hemorrhage: A Rare Presentation of Cerebral Venous Thrombosis
Article first published online: 7 JUL 2008
Headache: The Journal of Head and Face Pain
Volume 41, Issue 9, pages 889–892, October 2001
How to Cite
Sztajzel, R., Coeytaux, A., Dehdashti, A.R., Delavelle, J. and Sinnreich, M. (2001), Subarachnoid Hemorrhage: A Rare Presentation of Cerebral Venous Thrombosis. Headache: The Journal of Head and Face Pain, 41: 889–892. doi: 10.1111/j.1526-4610.2001.01161.x
- Issue published online: 7 JUL 2008
- Article first published online: 7 JUL 2008
- Accepted for publication March 25, 2001.
- cerebral venous thrombosis;
- subarachnoid hemorrhage;
- pseudotumoral cerebellar infarct
Because of its large spectrum of clinical manifestations, diagnosis of cerebral venous thrombosis may be very difficult. Since appropriate treatment influences prognosis, early recognition of this condition is extremely important. We report a subarachnoid hemorrhage as a rare initial manifestation of cerebral venous thrombosis. A 58-year-old woman was admitted with severe headache of sudden onset, neck stiffness, dysarthria, and ataxia. Computed tomography scan showed a subarachnoid hemorrhage in the right posterior fossa. Magnetic resonance imaging coupled with magnetic resonance angiography revealed right transverse/sigmoid sinus thrombosis with hemorrhagic infarction of the right cerebellar hemisphere leading to a pseudotumoral appearance and displacing the fourth ventricle. Anticoagulant treatment resulted in rapid clinical recovery and in resolution of the radiological signs of infarction and of the subarachnoid and subdural hemorrhages.