Deep cerebral venous thrombosis and weight-lifting exercise: A case report

Authors

  • Thon Thiraworawong Division of Neurology, Prasat Neurological Institute

Keywords:

Cerebral venous thrombosis, weight-lifting, headache

Abstract

A 23-year-old Thai man presented with subacute progressive headache over 2 weeks. The patient has a regular heavy weight lifting schedule with no any obvious risk factors or stimulants. Neurological examination and initial laboratory work-up which included CBC, BUN/Cr, electrolyte, liver function test, coagulogram were within normal limits. CT brain, MRI and MRV brain showed abnormal hyperdensity/ hyperintensity with filling defect consistent with thrombus in inferior sagittal sinus and straight sinus. Investigations for etiology of the disease including protein C level, protein S level, antithrombin-III level, factor V leiden, antiphospholipid antibody and prothrombin gene G20210A mutation were normal. Malignancy screening included CEA, AFP, CA 19-9 were within normal limits. Heavy weight-lifting program may be associated with deep cerebral venous thrombosis in this patient.

References

Stam J.Thrombosis of the cerebral veins and sinuses. N Engl J Med. 2005;352(17):1791–98.

Ferro JM, Canhao P, Stam J, Bousser MG, Barinagarrementeria F. ISCVT Investigators: prognosis of cerebral vein and dural sinus thrombosis: results of the international study on cerebral vein and dural sinus thrombosis (ISCVT). Stroke. 2004;35: 664–70.

Silberstein S, Lipton R, Dodick D. Wolff’s headache and other head pain. 8thed. New York: Oxford University Press; 2008.

Saneto RP, Samples S, Kinkel RP. Traumatic intracerebral venous thrombosis associated with an abnormal golf swing. Headache. 2000;40(7):595–598.

Sebastien R, Jean-Christophe L, Birgit F, Ana E, Gioia M, Xavier D. Report of a recurrent cerebral venous thrombosis in a young athlete. BMC Neurol. 2014;14:182.

Gaudard A, Varlet-Marie E, Monnier JF, Janbon Ch, Quere I, Bressolle F, et al. Exercise-induced central retinal vein thrombosis: possible involvement of
hemorheological disturbances. A case report. Clin Hemorheol Microcirc. 2002;27(2):115–122.

Hedreville M, Connes P, Romana M, Magnaval G, David T, Hardy-Dessources MD, et al. Central retinal vein occlusion in a sickle cell trait carrier after a cycling race. Med Sci Sports Exerc. 2009;41(1):14–18.

Fremont B, Pacouret G, De Labriolle A, Magdelaine B, Puglisi R, Charbonnier B. Exercise deep venous thrombosis: myth or reality? About three cases of pulmonary embolism in long-distance runners. Arch Mal Coeur Vaiss. 2007;100(6–7):519–523.

Sahraian MA, Mottamedi M, Azimi AR, Moghimi B. Androgen-induced cerebral venous sinus thrombosis in a young body builder: case report. BMC Neurol. 2004;4(1):22.

Downloads

Published

2019-02-13

How to Cite

1.
Thiraworawong T. Deep cerebral venous thrombosis and weight-lifting exercise: A case report. J Thai Stroke Soc [Internet]. 2019 Feb. 13 [cited 2024 May 1];17(3):38-43. Available from: https://he01.tci-thaijo.org/index.php/jtss/article/view/172083

Issue

Vol. 17 No. 3 (2018): September - December

Section

Case Report

License

ข้อความภายในบทความที่ตีพิมพ์ในวารสารสมาคมโรคหลอดเลือดสมองไทยเล่มนี้ ตลอดจนความรับผิดชอบด้านเนื้อหาและการตรวจร่างบทความเป็นของผู้นิพนธ์ ไม่เกี่ยวข้องกับกองบรรณาธิการแต่อย่างใด การนำเนื้อหา ข้อความหรือข้อคิดเห็นของบทความไปเผยแพร่ ต้องได้รับอนุญาตจากกองบรรณาธิการอย่างเป็นลายลักษณ์อักษร ผลงานที่ได้รับการตีพิมพ์ในวารสารเล่มนี้ถือเป็นลิขสิทธิ์ของวารสาร