Cerebral venous sinus thrombosis differential diagnosis: Difference between revisions
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* To exclude other suspected possible [[causes]] of [[headache]] [[CT]] and [[MRI]] might be required. | * To exclude other suspected possible [[causes]] of [[headache]] [[CT]] and [[MRI]] might be required. | ||
|[[Migraine]] is a clinical | |[[Migraine]] does not need any diagnostic test; it is a clinical diagnosis. To rule out any suspected coexistent metabolic problems or to determine the baseline status of the patient before initiation of [[migraine]] [[therapy]] [[laboratory]] tests can be done. | ||
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|[[Head injury]] | |[[Head injury]] | ||
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|[[CT]] scan without contrast | |[[CT]] scan without contrast | ||
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* [[CT]] scan is the first test | * [[CT]] scan is the first test to identify [[cerebral hemorrhage]] (appears as hyperattenuating clot) after head injury. | ||
* [[MRI]] is | * [[MRI]] is time-consuming, expensive, and is done in cases with nonspecific findings in [[CT scans]]. | ||
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* The [[Glasgow Coma Scale]] is | * The [[Glasgow Coma Scale]] is used to determine the severity of the injury. | ||
* The [[Pediatric Glasgow Coma Scale]] is used in young children. | * The [[Pediatric Glasgow Coma Scale]] is used in young children. | ||
|- | |- | ||
|[[Lymphocytic hypophysitis]] | |[[Lymphocytic hypophysitis]] | ||
|[[Lymphocytic hypophysitis]] is most | |[[Lymphocytic hypophysitis]] is most common in late pregnancy or the [[postpartum]] period with the following symptoms: | ||
* Mass lesion effect such as [[headache]] or [[Visual field defect|visual field defects]] | * Mass lesion effect such as [[headache]] or [[Visual field defect|visual field defects]] | ||
* [[Hypopituitarism]] | * [[Hypopituitarism]] | ||
|Pituitary biopsy | |Pituitary biopsy | ||
| | | | ||
* [[CT]] & [[MRI]] | * [[CT]] & [[MRI]] are helpful to identify a [[pituitary]] [[mass]]. | ||
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* | * [[Lymphocytic]] [[Infiltration (medical)|infiltration]] in pituitary biopsy confirms the diagnosis. | ||
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|[[Radiation injury]] | |[[Radiation injury]] | ||
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* Contrast-enhancing mass surrounded by [[edema]] and mass effect | * Contrast-enhancing mass surrounded by [[edema]] and mass effect | ||
|[[PET scan]] | |[[PET scan]] | ||
* [[Radiation]] [[necrosis]] is hypo metabolic and | * [[Radiation]] [[necrosis]] is hypo metabolic and shows reduced uptake of [[fluorodeoxyglucose]]. | ||
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Latest revision as of 01:19, 3 August 2021
Cerebral venous sinus thrombosis Microchapters |
Differentiating Cerebral venous sinus thrombosis from other Diseases |
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Diagnosis |
Treatment |
Case Studies |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sharmi Biswas, M.B.B.S
Overview
Cerebral venous sinus thrombosis is often get misdiagnosed due to the overlapping of symptoms with other neurological conditions
Differential Diagnosis
Cerebral venous sinus thrombosis should be differentiated from other diseases causing severe headache for example: [1][2][3][4][5][6][7][8][9][10]
Disease | Symptoms | Diagnosis | ||
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Gold Standard | CT/MRI | Other Investigation Findings | ||
Intracranial venous thrombosis |
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Digital subtraction angiography |
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Subarachnoid hemorrhage |
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Digital subtraction angiography |
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Meningitis |
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Lumbar puncture for CSF |
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Intracranial mass |
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MRI |
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Cerebral hemorrhage |
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CT scan without contrast |
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Cerebral Infarction | The symptoms of an ischemic stroke depend on the site and blood supply of the area involved. | Cerebral angiography |
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Migraine |
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--- | Migraine does not need any diagnostic test; it is a clinical diagnosis. To rule out any suspected coexistent metabolic problems or to determine the baseline status of the patient before initiation of migraine therapy laboratory tests can be done. | |
Head injury |
|
CT scan without contrast |
|
|
Lymphocytic hypophysitis | Lymphocytic hypophysitis is most common in late pregnancy or the postpartum period with the following symptoms:
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Pituitary biopsy |
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Radiation injury |
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Surgical exploration including biopsy (histological confirmation) |
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PET scan
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References
- ↑ Endrit Ziu & Fassil Mesfin (2017). "Subarachnoid Hemorrhage". PMID 28722987.
- ↑ Benedikt Schwermer, Daniel Eschle & Constantine Bloch-Infanger (2017). "[Fever and Headache after a Vacation in Thailand]". Deutsche medizinische Wochenschrift (1946). 142 (14): 1063–1066. doi:10.1055/s-0043-106282. PMID 28728201.
- ↑ Otto Rapalino & Mark E. Mullins (2017). "Intracranial Infectious and Inflammatory Diseases Presenting as Neurosurgical Pathologies". Neurosurgery. doi:10.1093/neuros/nyx201. PMID 28575459.
- ↑ I. B. Komarova, V. P. Zykov, L. V. Ushakova, E. K. Nazarova, E. B. Novikova, O. V. Shuleshko & M. G. Samigulina (2017). "[Clinical and neuroimaging signs of cardioembolic stroke laboratory in children]". Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 117 (3. Vyp. 2): 11–19. doi:10.17116/jnevro20171173211-19. PMID 28665364.
- ↑ Sanjay Konakondla, Clemens M. Schirmer, Fengwu Li, Xiaogun Geng & Yuchuan Ding (2017). "New Developments in the Pathophysiology, Workup, and Diagnosis of Dural Venous Sinus Thrombosis (DVST) and a Systematic Review of Endovascular Treatments". Aging and disease. 8 (2): 136–148. doi:10.14336/AD.2016.0915. PMID 28400981.
- ↑ Priyanka Yadav, Alec L. Bradley & Jonathan H. Smith (2017). "Recognition of Chronic Migraine by Medicine Trainees: A Cross-Sectional Survey". Headache. doi:10.1111/head.13133. PMID 28653369.
- ↑ S. Wulffeld, L. S. Rasmussen, B. Hojlund Bech & J. Steinmetz (2017). "The effect of CT scanners in the trauma room - an observational study". Acta anaesthesiologica Scandinavica. 61 (7): 832–840. doi:10.1111/aas.12927. PMID 28635146.
- ↑ Johnston PC, Chew LS, Hamrahian AH, Kennedy L (2015). "Lymphocytic infundibulo-neurohypophysitis: a clinical overview". Endocrine. 50 (3): 531–6. doi:10.1007/s12020-015-0707-6. PMID 26219407.
- ↑ Makale MT, McDonald CR, Hattangadi-Gluth JA, Kesari S (2017). "Mechanisms of radiotherapy-associated cognitive disability in patients with brain tumours". Nat Rev Neurol. 13 (1): 52–64. doi:10.1038/nrneurol.2016.185. PMID 27982041.
- ↑ Sato N, Sze G, Endo K (1998). "Hypophysitis: endocrinologic and dynamic MR findings". AJNR Am J Neuroradiol. 19 (3): 439–44. PMID 9541295.