Elsevier

Radiology Case Reports

Volume 17, Issue 9, September 2022, Pages 3298-3301
Radiology Case Reports

Case Report
Deep venous sinus thrombosis with right thalamic infarction in a young patient after COVID-19 vaccination

https://doi.org/10.1016/j.radcr.2022.06.027Get rights and content
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open access

Abstract

Cerebral venous thrombosis is a rare illness, it compromises 0.5% of cases of cerebrovascular diseases globally. The condition can be treated if discovered and treated properly and quickly. With many known risk factors and in recent times with invent of the COVID-19 vaccine, there have been reported incidences of vaccination being implicated in cerebral venous sinus thrombosis. We report an unusual case of an adolescent female with imaging findings of deep cerebral venous sinus thrombosis and right thalamic infarction after recent vaccination against COVID-19. Laboratory results revealed microcytic hypochromic anemia. Further imaging was done which included a non-contrast CT head, magnetic resonance imaging, and magnetic resonance venography leading to a diagnosis of thrombosis of deep venous (galenic) system with vasogenic edema in bilateral thalami and left caudate nucleus with areas of infarction in the right thalamus. She was treated with subcutaneous low molecular weight heparin (Enoxaparin) and discharged on the third day under oral dabigatran and oral iron.

Key words

Cerebral venous sinus thrombosis (CVST)
Cerebral venous thrombosis (CVT)
Thalamic infarct

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Competing Interests: All authors declare that there are no financial disclosures and personal relationships with other people or organizations that could inappropriately influence (bias) our work.