Looking Beyond the Bleed: A Case Report
Cerebral venous thrombosis (CVT) can be one of the most challenging diagnoses to make in a patient with an undifferentiated headache. A missed diagnosis of the condition can lead to catastrophic consequences, as seen in the case described here. There needs to be a high index of clinical suspicion fo...
Gespeichert in:
| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-03, Vol.15 (3), p.e36897 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 3 |
| container_start_page | e36897 |
| container_title | Curēus (Palo Alto, CA) |
| container_volume | 15 |
| creator | Noto, Rachel Creditt, Angela |
| description | Cerebral venous thrombosis (CVT) can be one of the most challenging diagnoses to make in a patient with an undifferentiated headache. A missed diagnosis of the condition can lead to catastrophic consequences, as seen in the case described here. There needs to be a high index of clinical suspicion for CVT as the diagnosis involves imaging modalities that are not frequently used in the emergency setting. This case report demonstrates how the classic avenues of headache workup can miss this diagnosis. It also illustrates how delayed diagnosis can present in the extremis and have unsalvageable outcomes. |
| doi_str_mv | 10.7759/cureus.36897 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10151001</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2821277722</sourcerecordid><originalsourceid>FETCH-LOGICAL-c267t-5ef42c2eefc014bcc47a96acf9beafd777b473e7e50cac5d95184d337f6a36db3</originalsourceid><addsrcrecordid>eNpVkE1Lw0AQhhdRbKm9eZaABy-m7keSSbxIG_yCgiB6Xjab2Ta1zdbdROi_N9pa6mkH9uGddx5CzhkdAcTZjW4dtn4kkjSDI9LnLEnDlKXR8cHcI0PvF5RSRoFToKekJ4CJjAPtk6uptR9VPQsmuLF1GTRzDCZLxPI2GAe58hi84tq65oycGLX0ONy9A_L-cP-WP4XTl8fnfDwNNU-gCWM0Edcc0WjKokLrCFSWKG2yApUpAaCIQCBgTLXScZnFXcFSCDCJEklZiAG52-au22KFpca6cWop165aKbeRVlXy_09dzeXMfklGWcy6G7uEy12Cs58t-kYubOvqrrTkKWe868B5R11vKe2s9w7NfgWj8ket3KqVv2o7_OKw1h7-Eym-ATegdSA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2821277722</pqid></control><display><type>article</type><title>Looking Beyond the Bleed: A Case Report</title><source>PubMed Central Open Access</source><source>PubMed Central</source><creator>Noto, Rachel ; Creditt, Angela</creator><creatorcontrib>Noto, Rachel ; Creditt, Angela</creatorcontrib><description>Cerebral venous thrombosis (CVT) can be one of the most challenging diagnoses to make in a patient with an undifferentiated headache. A missed diagnosis of the condition can lead to catastrophic consequences, as seen in the case described here. There needs to be a high index of clinical suspicion for CVT as the diagnosis involves imaging modalities that are not frequently used in the emergency setting. This case report demonstrates how the classic avenues of headache workup can miss this diagnosis. It also illustrates how delayed diagnosis can present in the extremis and have unsalvageable outcomes.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.36897</identifier><identifier>PMID: 37139270</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Ammonia ; Blood tests ; Blood-brain barrier ; Cardiac arrhythmia ; Case reports ; Diabetes ; Edema ; Electrocardiography ; Emergency medical care ; Emergency Medicine ; Glucose ; Headaches ; Hemorrhage ; Hypertension ; Intracranial pressure ; Medical diagnosis ; Metabolism ; Neurology ; Neurosurgery ; Obesity ; Pregnancy ; Sinuses ; Thrombosis ; Thyroid gland ; Tomography</subject><ispartof>Curēus (Palo Alto, CA), 2023-03, Vol.15 (3), p.e36897</ispartof><rights>Copyright © 2023, Noto et al.</rights><rights>Copyright © 2023, Noto et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, Noto et al. 2023 Noto et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c267t-5ef42c2eefc014bcc47a96acf9beafd777b473e7e50cac5d95184d337f6a36db3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10151001/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10151001/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37139270$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Noto, Rachel</creatorcontrib><creatorcontrib>Creditt, Angela</creatorcontrib><title>Looking Beyond the Bleed: A Case Report</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Cerebral venous thrombosis (CVT) can be one of the most challenging diagnoses to make in a patient with an undifferentiated headache. A missed diagnosis of the condition can lead to catastrophic consequences, as seen in the case described here. There needs to be a high index of clinical suspicion for CVT as the diagnosis involves imaging modalities that are not frequently used in the emergency setting. This case report demonstrates how the classic avenues of headache workup can miss this diagnosis. It also illustrates how delayed diagnosis can present in the extremis and have unsalvageable outcomes.</description><subject>Ammonia</subject><subject>Blood tests</subject><subject>Blood-brain barrier</subject><subject>Cardiac arrhythmia</subject><subject>Case reports</subject><subject>Diabetes</subject><subject>Edema</subject><subject>Electrocardiography</subject><subject>Emergency medical care</subject><subject>Emergency Medicine</subject><subject>Glucose</subject><subject>Headaches</subject><subject>Hemorrhage</subject><subject>Hypertension</subject><subject>Intracranial pressure</subject><subject>Medical diagnosis</subject><subject>Metabolism</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>Obesity</subject><subject>Pregnancy</subject><subject>Sinuses</subject><subject>Thrombosis</subject><subject>Thyroid gland</subject><subject>Tomography</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVkE1Lw0AQhhdRbKm9eZaABy-m7keSSbxIG_yCgiB6Xjab2Ta1zdbdROi_N9pa6mkH9uGddx5CzhkdAcTZjW4dtn4kkjSDI9LnLEnDlKXR8cHcI0PvF5RSRoFToKekJ4CJjAPtk6uptR9VPQsmuLF1GTRzDCZLxPI2GAe58hi84tq65oycGLX0ONy9A_L-cP-WP4XTl8fnfDwNNU-gCWM0Edcc0WjKokLrCFSWKG2yApUpAaCIQCBgTLXScZnFXcFSCDCJEklZiAG52-au22KFpca6cWop165aKbeRVlXy_09dzeXMfklGWcy6G7uEy12Cs58t-kYubOvqrrTkKWe868B5R11vKe2s9w7NfgWj8ket3KqVv2o7_OKw1h7-Eym-ATegdSA</recordid><startdate>20230330</startdate><enddate>20230330</enddate><creator>Noto, Rachel</creator><creator>Creditt, Angela</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20230330</creationdate><title>Looking Beyond the Bleed: A Case Report</title><author>Noto, Rachel ; Creditt, Angela</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c267t-5ef42c2eefc014bcc47a96acf9beafd777b473e7e50cac5d95184d337f6a36db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Ammonia</topic><topic>Blood tests</topic><topic>Blood-brain barrier</topic><topic>Cardiac arrhythmia</topic><topic>Case reports</topic><topic>Diabetes</topic><topic>Edema</topic><topic>Electrocardiography</topic><topic>Emergency medical care</topic><topic>Emergency Medicine</topic><topic>Glucose</topic><topic>Headaches</topic><topic>Hemorrhage</topic><topic>Hypertension</topic><topic>Intracranial pressure</topic><topic>Medical diagnosis</topic><topic>Metabolism</topic><topic>Neurology</topic><topic>Neurosurgery</topic><topic>Obesity</topic><topic>Pregnancy</topic><topic>Sinuses</topic><topic>Thrombosis</topic><topic>Thyroid gland</topic><topic>Tomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Noto, Rachel</creatorcontrib><creatorcontrib>Creditt, Angela</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Noto, Rachel</au><au>Creditt, Angela</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Looking Beyond the Bleed: A Case Report</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2023-03-30</date><risdate>2023</risdate><volume>15</volume><issue>3</issue><spage>e36897</spage><pages>e36897-</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Cerebral venous thrombosis (CVT) can be one of the most challenging diagnoses to make in a patient with an undifferentiated headache. A missed diagnosis of the condition can lead to catastrophic consequences, as seen in the case described here. There needs to be a high index of clinical suspicion for CVT as the diagnosis involves imaging modalities that are not frequently used in the emergency setting. This case report demonstrates how the classic avenues of headache workup can miss this diagnosis. It also illustrates how delayed diagnosis can present in the extremis and have unsalvageable outcomes.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>37139270</pmid><doi>10.7759/cureus.36897</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2168-8184 |
| ispartof | Curēus (Palo Alto, CA), 2023-03, Vol.15 (3), p.e36897 |
| issn | 2168-8184 2168-8184 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10151001 |
| source | PubMed Central Open Access; PubMed Central |
| subjects | Ammonia Blood tests Blood-brain barrier Cardiac arrhythmia Case reports Diabetes Edema Electrocardiography Emergency medical care Emergency Medicine Glucose Headaches Hemorrhage Hypertension Intracranial pressure Medical diagnosis Metabolism Neurology Neurosurgery Obesity Pregnancy Sinuses Thrombosis Thyroid gland Tomography |
| title | Looking Beyond the Bleed: A Case Report |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T15%3A27%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Looking%20Beyond%20the%20Bleed:%20A%20Case%20Report&rft.jtitle=Cur%C4%93us%20(Palo%20Alto,%20CA)&rft.au=Noto,%20Rachel&rft.date=2023-03-30&rft.volume=15&rft.issue=3&rft.spage=e36897&rft.pages=e36897-&rft.issn=2168-8184&rft.eissn=2168-8184&rft_id=info:doi/10.7759/cureus.36897&rft_dat=%3Cproquest_pubme%3E2821277722%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2821277722&rft_id=info:pmid/37139270&rfr_iscdi=true |