Author(s)

Chaw Su Naing^1*, Lim Wan Tin¹, Slapak Gabrielle², Balakrishnan Tharmmambal¹

¹Department of Internal Medicine, Singapore General Hospital, Singapore City, Singapore.
²Basildon and Thurrock University NHS Foundation Trust, Essex, UK.

Cerebral venous sinus thrombosis (CVST) with concomitant extracranial venous thrombosis is not a common clinicopathological entity. Extensive venous thrombosis involving head and neck affects young adult and female gender with isolated CVST contributing about 75% of the cases. The clinical features of CVST are nonspecific and can mimic various conditions. The neuroimaging investigation especially CT, MR angiography and venography are used to establish the diagnosis. This case highlights the awareness of the diagnostic difficulties, identifying the etiology and initiating effective treatment. The diagnosis of head and neck venous thrombosis is by having a high index of suspicion based on the clinical context and early recognition to lower the associated morbidity and mortality thus improving clinical outcomes in this condition.

Headache, Cerebral Venous Thrombosis, Internal Jugular Vein Thrombosis, Antiphospholipid Syndrome

Naing, C. , Tin, L. , Gabrielle, S. and Tharmmambal, B. (2014) Chronic Headache with Unusual Episode: A Case of Cerebral Venous Sinus and Extracranial Venous Thrombosis in Antiphospholipid Syndrome. Open Access Library Journal, 1, 1-6. doi: 10.4236/oalib.1101098.