Table 1 Summary of clinical characteristics of the patients
From: Cerebral venous thrombosis (CVT) complicating tubercular meningitis
Item | Case 1 | Case 2 | Case 3 |
|---|---|---|---|
Sex | female | female | female |
Age (years) | 34 | 29 | 30 |
Pulmonary tuberculosis | Yes | Yes | No |
Other risk factors | Assisted reproductive technology; artificial abortion | Artificial abortion | No |
Clinical manifestation | Fever, headache, paralysis of the right upper limb | Fever, headache, vomiting, diplopia | Fever, headache, vomiting |
MRV finding | Partial visualization with thrombosis of the straight sinus | Thrombosis of the left transverse sinus and sigmoid sinus | Thrombosis of the left transverse sinus and sigmoid sinus |
MRI finding | Infarction | Focal infection | Tuberculomas |
Treatment | Anti-tubercular therapy (isoniazid, rifampicin, pyrazinamide, ethambutol, and moxifloxacin) | Anti-tubercular therapy (isoniazid, rifampicin, pyrazinamide, ethambutol, and linezolid) | Anti-tubercular therapy (isoniazid, rifampicin, pyrazinamide, and ethambutol) |
Hydrocortisone and mannitol | Methylprednisolone and mannitol | Hydrocortisone and mannitol | |
Anticoagulants (low molecular weight heparin once a day, 2 months; oral warfarin, 6 months) | Anticoagulants (low molecular weight heparin once a day, 2 months; oral rivarsaban, 6 months) | Anticoagulants (low molecular weight heparin once a day, 2 months) | |
Outcome | Last mRS 0 | Last mRS 0 | Last mRS 0 |