Cerebral venous sinus thrombosis presenting as subarachnoid hemorrhage in a neuromyelitis optica spectrum disorder with positive anti-cardiolipin antibodies: a case report

Author:

ding yichen1,wu jinxiu2,he zhongxun1,guo chai1,wang weina1,yu yunli1

Affiliation:

1. Department of Neurology, Affiliated Hospital of Guizhou Medical University

2. Guizhou Medical University

Abstract

Abstract Background Area postrema syndrome has a low prevalence of neuromyelitis optica spectrum disorder (NMOSD), and cerebral venous sinus thrombosis (CVST), which typically manifests as subarachnoid hemorrhage (SAH), is a less frequent complication. Case presentation: Here, we provide a case of a patient with recurrent NMOSD who had anti-cardiolipin antibodies that were positive and who experienced seizures while receiving plasma exchange (PE) and glucocorticoid shock therapy. The patient's condition was ultimately determined to be CVST with SAH as the manifestation after pertinent tests. Conclusions Taking the present case as an example, we analyzed the etiologies of thrombotic events during the treatment of CNS inflammatory diseases and found that the etiology is diverse and may be the result of a combination of causes. More clinical data is required to establish the precise process, although in addition to the basic itself, positive anti-cardiolipin antibodies, Glucocorticoids (GCs), and PE may cause the creation of this thrombotic event.

Publisher

Research Square Platform LLC

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