Diabetes Ketoacidosis and Bilateral Cerebral Venous Sinus Thrombosis
Cerebral venous sinus thrombosis (CVST) is a rare condition marked by clot formation in the cerebral veins, often leading to significant neurologic impairment. This case involves a woman in her 60s presenting with altered mental status, slurred speech, and difficulty ambulating. She was diagnosed wi...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2025-07-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.1184 |
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| author | Ashni Dharia Himsikhar Khataniar Sahil Sardana Harmanpreet Bandesha Patricia Bononi |
| author_facet | Ashni Dharia Himsikhar Khataniar Sahil Sardana Harmanpreet Bandesha Patricia Bononi |
| author_sort | Ashni Dharia |
| collection | DOAJ |
| description | Cerebral venous sinus thrombosis (CVST) is a rare condition marked by clot formation in the cerebral veins, often leading to significant neurologic impairment. This case involves a woman in her 60s presenting with altered mental status, slurred speech, and difficulty ambulating. She was diagnosed with diabetic ketoacidosis (DKA) and bilateral CVST with negative hypercoagulable, cardiac, or infectious screenings. Treatment included fluid resuscitation, insulin, and anticoagulation therapy, resulting in improved neurologic symptoms. This case underscores the need for clinicians to consider CVST in DKA patients with neurologic signs because early detection can prevent complications and enhance outcomes. |
| format | Article |
| id | doaj-art-efbb548e841c4bb79907ab7616c27d1c |
| institution | Kabale University |
| issn | 2767-7664 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-efbb548e841c4bb79907ab7616c27d1c2025-08-20T03:32:57ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-07-014710.7326/aimcc.2024.1184Diabetes Ketoacidosis and Bilateral Cerebral Venous Sinus ThrombosisAshni Dharia0Himsikhar Khataniar1Sahil Sardana2Harmanpreet Bandesha3Patricia Bononi41Department of Internal Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania1Department of Internal Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania1Department of Internal Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania2Department of Radiology, Allegheny General Hospital, Pittsburgh, Pennsylvania3Department of Endocrinology, Allegheny General Hospital, Pittsburgh, PennsylvaniaCerebral venous sinus thrombosis (CVST) is a rare condition marked by clot formation in the cerebral veins, often leading to significant neurologic impairment. This case involves a woman in her 60s presenting with altered mental status, slurred speech, and difficulty ambulating. She was diagnosed with diabetic ketoacidosis (DKA) and bilateral CVST with negative hypercoagulable, cardiac, or infectious screenings. Treatment included fluid resuscitation, insulin, and anticoagulation therapy, resulting in improved neurologic symptoms. This case underscores the need for clinicians to consider CVST in DKA patients with neurologic signs because early detection can prevent complications and enhance outcomes.https://www.acpjournals.org/doi/10.7326/aimcc.2024.1184 |
| spellingShingle | Ashni Dharia Himsikhar Khataniar Sahil Sardana Harmanpreet Bandesha Patricia Bononi Diabetes Ketoacidosis and Bilateral Cerebral Venous Sinus Thrombosis Annals of Internal Medicine: Clinical Cases |
| title | Diabetes Ketoacidosis and Bilateral Cerebral Venous Sinus Thrombosis |
| title_full | Diabetes Ketoacidosis and Bilateral Cerebral Venous Sinus Thrombosis |
| title_fullStr | Diabetes Ketoacidosis and Bilateral Cerebral Venous Sinus Thrombosis |
| title_full_unstemmed | Diabetes Ketoacidosis and Bilateral Cerebral Venous Sinus Thrombosis |
| title_short | Diabetes Ketoacidosis and Bilateral Cerebral Venous Sinus Thrombosis |
| title_sort | diabetes ketoacidosis and bilateral cerebral venous sinus thrombosis |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2024.1184 |
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