학술논문

Cerebral venous thrombosis in inflammatory bowel disease.
Document Type
Article
Source
Journal of Digestive Diseases. Feb2015, Vol. 16 Issue 2, p104-108. 5p.
Subject
*VENOUS thrombosis
*INFLAMMATORY bowel diseases
*ULCERATIVE colitis
*ANTICOAGULANTS
*HEADACHE
*INTESTINAL perforation
*PATIENTS
Language
ISSN
1751-2972
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. [ABSTRACT FROM AUTHOR]