Headache and inflammatory bowel disease: think cerebral vein!
coma and raised intracranial pressure
headache (including migraines)
inflammatory bowel disease
paediatrics
venous thromboembolism
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
29 Jan 2019
29 Jan 2019
Historique:
entrez:
1
2
2019
pubmed:
1
2
2019
medline:
14
5
2019
Statut:
epublish
Résumé
Cerebral vein thrombosis is a severe complication of inflammatory bowel disease, can cause non-specific symptoms and hence lead to delay in diagnosis. We report the case of an adolescent with inflammatory bowel disease who developed extensive cerebral vein thrombosis requiring a ventriculoperitoneal shunt. Diagnosis was markedly delayed due to repeated misinterpretation of clinical signs and laboratory findings and the lack of reconsidering the working diagnosis despite the involvement of several medical subspecialties. The patient does not suffer from any neurological impairment. This case report highlights the need for clinicians to maintain vigilance for complications of chronic disease and encourages to cast doubt on the working diagnosis constantly.
Identifiants
pubmed: 30700456
pii: 12/1/e227228
doi: 10.1136/bcr-2018-227228
pmc: PMC6352839
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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