Nurul Ashikin Hamzah, Francis J and Abdullah M
Hospital Sultanah Nur Zahirah, Malaysia
Posters & Accepted Abstracts: J Neurol Neurophysiol
Introduction: Cerebral venous thrombosis is a cerebrovascular disease which usually causes cerebral infarct.
And easily can be diagnosed with MR Imaging. However we present a case whose MRI scan showed abnormally
enhancing tumour like brain lesion which was heterogeneous in intensity and multi lobular occupying the region of
left transverse sinus extending supratentorially and infratentorially.
Case Description: 47 years old gentleman, a teacher by profession, presented with a sudden syncopal attack. However
had history of altered behavior for the past 1 month, associated with headache on and off. Physical examination
revealed that patient had left homonymous hemianopia. CT brain and MRI showed multiple different ages of
hemorrhagic supra and infratentorial lesions with skull bone erosion and extracranial extension, non-visualization
of the right transverse and part of right sigmoid sinus at the region of lesions. We proceeded with a craniotomy
and excision of the lesion. Intraoperatively noted reddish purplish well demarcated multilobulated lesion extending
extracranially causing left occipital bone erosion and infiltration into adjacent subcutaneous tissue. However
histopathology revealed a non-neoplastic lesion composing of mixture of different sizes of blood vessels, features
compatible with venous thrombosis. Postoperatively, patientâ??s visual field improved and patient able to resume his
teaching.
Conclusion: Cerebral-venous thrombosis can present as a space occupying lesion and should be considered as
differential diagnosis in an enhancing lesion that mimic tumor.
Nurul Ashikin Hamzah, MD, is a graduate of Faculty of Medicine in Hradec Kralove of Charles University of Czech Republic. She is currently training in Neurosurgery department of Hospital Sultanah Nur Zahirah, Terengganu, Malaysia for 2 years since 2017.Nurul had been practicing as medical officer since 2015 in Hospital Sultanah Aminah, Johor Bahru, in which one of the largest tertiary healthcare Centre and one of the top Neurosurgery Centre in Malaysia. Nurul is actively involved in researches and studies in local setting and internationally, such as Crash3 study. She also involves in NGOs activities and leading team in trauma and tumour awareness campaigns in Malaysia.
E-mail: a.axvist@gmail.com
