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July 1982

Internal Cerebral Vein Thrombosis: A Case Report

Author Affiliations

From the Departments of Neurology (Drs Hammerstad and Nishimura) and Radiology (Drs Stepanek and Howieson), Oregon Health Sciences University, Portland.

Arch Neurol. 1982;39(7):439-440. doi:10.1001/archneur.1982.00510190057019

Isolated internal cerebral vein thrombosis is a rare occurrence. It is generally associated with severe neurologic deficits leading to death. The case described in this report suggests that it can occur without catastrophic symptoms and with only minor sequelae.

REPORT OF A CASE  A 29-year-old, right-handed man, with a 30-month history of intermittent neurologic abnormalities, had a right facial weakness diagnosed as Bell's palsy in August 1978. His condition was treated with prednisone; the weakness resolved in several days. After a symptom-free interval of about two weeks, he noted increasing fatigue and headache during the new two months. In November, the headaches were severe, he became somnolent and confused, and memory deficits and intermittent vomiting developed. During this time, he had a right-sided facial weakness lasting one day, two brief episodes of dysphasia, alternating left and right hemiparesthesias, and a 24-hour episode of right 24-hour paresis, all of which occurred