The Experts below are selected from a list of 15 Experts worldwide ranked by ideXlab platform
Allan H. Ropper - One of the best experts on this subject based on the ideXlab platform.
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Thrombosis of the Vein of Trolard Secondary to Renal Minimal Change Disease: A Case Report and Literature Review (P6.245)
Neurology, 2014Co-Authors: Marcelo Rocha, Steven K. Feske, Allan H. RopperAbstract:Isolated cortical Vein thrombosis is a rare condition characterized by coagulopathy from different etiologies. We report the case of a 35 year-old woman who presented with numbness, weakness and seizures secondary to thrombosis of the Superior Anastomotic Vein of Trolard, during the initial onset of nephrotic syndrome. The patient was treated with anticoagulation, anticonvulsant prophylaxis and prednisone with significant clinical improvement over time. Repeat MRI at six months revealed resolution of Vein thrombosis and renal biopsy confirmed minimal change disease. Extensive laboratory work-up revealed elevated inflammatory markers but a normal hypercoagulable work-up. This is in contrast to previous reports of cortical venous thrombosis in nephrotic syndrome, which is typically associated with deficiencies in protein S, protein C or anti-thrombin III. Alternative molecular mechanisms for cerebral venous thrombosis are discussed based on the present case and literature review. Disclosure: Dr. Rocha has nothing to disclose. Dr. Feske has nothing to disclose. Dr. Ropper has nothing to disclose.
Marcelo Rocha - One of the best experts on this subject based on the ideXlab platform.
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Thrombosis of the Vein of Trolard Secondary to Renal Minimal Change Disease: A Case Report and Literature Review (P6.245)
Neurology, 2014Co-Authors: Marcelo Rocha, Steven K. Feske, Allan H. RopperAbstract:Isolated cortical Vein thrombosis is a rare condition characterized by coagulopathy from different etiologies. We report the case of a 35 year-old woman who presented with numbness, weakness and seizures secondary to thrombosis of the Superior Anastomotic Vein of Trolard, during the initial onset of nephrotic syndrome. The patient was treated with anticoagulation, anticonvulsant prophylaxis and prednisone with significant clinical improvement over time. Repeat MRI at six months revealed resolution of Vein thrombosis and renal biopsy confirmed minimal change disease. Extensive laboratory work-up revealed elevated inflammatory markers but a normal hypercoagulable work-up. This is in contrast to previous reports of cortical venous thrombosis in nephrotic syndrome, which is typically associated with deficiencies in protein S, protein C or anti-thrombin III. Alternative molecular mechanisms for cerebral venous thrombosis are discussed based on the present case and literature review. Disclosure: Dr. Rocha has nothing to disclose. Dr. Feske has nothing to disclose. Dr. Ropper has nothing to disclose.
Steven K. Feske - One of the best experts on this subject based on the ideXlab platform.
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Thrombosis of the Vein of Trolard Secondary to Renal Minimal Change Disease: A Case Report and Literature Review (P6.245)
Neurology, 2014Co-Authors: Marcelo Rocha, Steven K. Feske, Allan H. RopperAbstract:Isolated cortical Vein thrombosis is a rare condition characterized by coagulopathy from different etiologies. We report the case of a 35 year-old woman who presented with numbness, weakness and seizures secondary to thrombosis of the Superior Anastomotic Vein of Trolard, during the initial onset of nephrotic syndrome. The patient was treated with anticoagulation, anticonvulsant prophylaxis and prednisone with significant clinical improvement over time. Repeat MRI at six months revealed resolution of Vein thrombosis and renal biopsy confirmed minimal change disease. Extensive laboratory work-up revealed elevated inflammatory markers but a normal hypercoagulable work-up. This is in contrast to previous reports of cortical venous thrombosis in nephrotic syndrome, which is typically associated with deficiencies in protein S, protein C or anti-thrombin III. Alternative molecular mechanisms for cerebral venous thrombosis are discussed based on the present case and literature review. Disclosure: Dr. Rocha has nothing to disclose. Dr. Feske has nothing to disclose. Dr. Ropper has nothing to disclose.
John A. Boockvar - One of the best experts on this subject based on the ideXlab platform.
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Hemorrhagic infarction secondary to cerebral venous thrombosis
Elsevier, 2019Co-Authors: Ralph Rahme, Rose Fluss, John A. BoockvarAbstract:Cerebral venous thrombosis (CVT) is an uncommon cause of hemorrhagic stroke. A 47-year old woman presented with acute-onset global aphasia and right hemiplegia. Head CT revealed a large left frontoparietal hematoma with significant mass effect. Emergency decompressive hemicraniectomy and hematoma evacuation were thus indicated. Intraoperatively, an occlusive thrombus was identified in the Superior Anastomotic Vein of Trolard, confirming the diagnosis of CVT. While hemorrhagic CVT is not a rare entity, the diagnosis is not usually made intraoperatively. More interestingly, the authors provide intraoperative photographs of the occlusive thrombus in the Vein of Trolard, overlying the area of hemorrhage, which they believe are unique and compelling clinical images. Keywords: Cerebral venous thrombosis, Dural sinus thrombosis, Intracerebral hemorrhage, Superior Anastomotic Vein of Trolard, Thrombophilia, Venous infarctio
Boockvar J. A. - One of the best experts on this subject based on the ideXlab platform.
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Hemorrhagic infarction secondary to cerebral venous thrombosis
Donald and Barbara Zucker School of Medicine Academic Works, 2019Co-Authors: Rahme R., Fluss R., Boockvar J. A.Abstract:© 2019 Cerebral venous thrombosis (CVT) is an uncommon cause of hemorrhagic stroke. A 47-year old woman presented with acute-onset global aphasia and right hemiplegia. Head CT revealed a large left frontoparietal hematoma with significant mass effect. Emergency decompressive hemicraniectomy and hematoma evacuation were thus indicated. Intraoperatively, an occlusive thrombus was identified in the Superior Anastomotic Vein of Trolard, confirming the diagnosis of CVT. While hemorrhagic CVT is not a rare entity, the diagnosis is not usually made intraoperatively. More interestingly, the authors provide intraoperative photographs of the occlusive thrombus in the Vein of Trolard, overlying the area of hemorrhage, which they believe are unique and compelling clinical images