Cerebral Venous Sinus Thrombosis in a Young Female Misdiagnosed as Migraine Ending in a Permanent Vegetative State

A Case Report and Review of the Literature

Sana Alshurafa; Wadiah Alfilfil; Ayah Alshurafa; Khadijah Alhashim


J Med Case Reports. 2018;12(323) 

In This Article


The early diagnosis of CVT depends on the careful speculation of an experienced and oriented clinician. The CVT clinical aspects are highly variable and inconsistent. Such types of conditions are difficult to diagnose unless the physician makes a prompt effort to detect them. Missing a CVT that presents with headache only is probably very common. The case reported in the current study aims to raise the awareness of physicians to recognize the less dramatic presentation of this illness that might lead to misdiagnosis and aggressive management. We would also like to highlight a different modality of treatment that has not yet been published in guidelines: endovascular thrombolysis and thrombectomy have shown some success in case series in worsening cases, such as our patient.