A Case of Lateral Sinus Thrombosis Presenting with
Cranial Nerve Syndrome

J Korean Neurol Assoc > Volume 17(6); 1999 > Article

Journal of the Korean Neurological Association 1999;17(6): 924-927.

측부정맥동 혈전증으로 인한 뇌신경 증후군 1예

김동선, 정정욱 김재영 김종환 김응규 김성은

인제대학교 의과대학 신경과학교실

A Case of Lateral Sinus Thrombosis Presenting with Cranial Nerve Syndrome

Dong-Seon Kim M.D., Jung-Wook Jung M.D., Jae-Young Kim M.D., Jong-Hwan Kim M.D., Eung-Gyu Kim M.D., Sung-Eun Kim M.D.

Department of Neurology, Inje University, Pusan Paik Hospital

Abstract

Cerebral venous thrombosis (CVT) is a disease sometimes associated with a wide variety of clinical signs and symp-toms. Single or multiple cranial nerve palsies without evidence of any other signs and symptoms have not, so far, been considered as a relevant syndrome of CVT. A 49-year-old woman was admitted to our hospital because of diplopia, vertigo with tinnitus and ataxia which had begun approximately three weeks before. Neurological examination revealed a right 6th nerve palsy by a red glass test and an impaired tandem walking test. Laboratory tests including CSF exami-nation and brain MRI were normal but MR venography and following 4-vessel angiography showed thrombosis in the left transverse and sigmoid sinuses and suspicious thrombosis in the right lateral sinus. She was treated with heparin and proceeded to get well. J Korean Neurol Assoc 17(6):924~927, 1999 Key Words : Cerebral venous thrombosis, Multiple cranial nerve palsies, MR venography