Cerebral venous thrombosis in inflammatory bowel disease Academic Article uri icon

Overview

MeSH Major

  • Cerebral Veins
  • Inflammatory Bowel Diseases
  • Intracranial Thrombosis

abstract

  • Cerebral venous thrombosis (CVT) is a rare but devastating complication of inflammatory bowel disease (IBD). Here we describe six IBD patients with cerebral venous thrombosis. The patients presented with hours to days of headache and were found to have venous thrombosis on imaging. Four of the six patients had ulcerative colitis and two had Crohn's disease. All six patients were treated with therapeutic anticoagulation. There were two deaths; one patient became comatose and died despite anticoagulation while the other recovered well from the sinus thrombosis but died after a bowel perforation 3 weeks later. This case series demonstrates the critical need for early recognition of neurological symptoms in patients with IBD during disease flares. It is important to recognize the clinical signs in order to start anticoagulation expeditiously and improve neurological outcomes.

publication date

  • January 2015

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1111/1751-2980.12212

PubMed ID

  • 25395041

Additional Document Info

start page

  • 104

end page

  • 8

volume

  • 16

number

  • 2