Azham Purwandhono
Department of Neurology, Soebandi Regional Hospital, Jember, Indonesia
Faculty of Medicine, University of Jember, Jember, Indonesia

Novan Krisno Adji
Department of Neurosurgery, Soebandi Regional Hospital, Jember, Indonesia
Faculty of Medicine, University of Jember, Jember, Indonesia

Muhammad Yuda Nugraha
Faculty of Medicine, University of Jember, Jember, Indonesia

Salsabilla Maula Zalfa El Hamzah
Faculty of Medicine, University of Jember, Jember, Indonesia

DOI: https://doi.org/10.19184/ams.v8i2.30193

Abstract

Cerebral venous sinus thrombosis (CVT) is a rare cause of stroke, a life-threatening disorder that occurs in approximately 0,5-1% of all stroke incidents. Various clinical presentations, risk factors, and neuroimaging findings of this disease may cause a delay in the early diagnosis and treatment of CVT. We discuss a case of a 34-year-old female who was admitted to the emergency room (ER) with the onset of a generalized tonic-clonic seizure with a progressive headache in the occipitotemporal region. Based on head CT, there was multiple hyperdense and cerebral venous infarction in the posterior left parietal lobe. D-dimer evaluation, there was an increasing level of D-dimer (>10.000 ng/mL). The patient was treated with the primary therapy heparin. After 15 days of being hospitalized, the patient was discharged without any sequelae.

Keyword: CVT, heparin, stroke.

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