Cerebral Venous Sinus Thrombosis during the Initial Flare of Previously Undiagnosed Ulcerative Colitis: A Case Report

Key Points

• To highlight a rare case of cerebral venous sinus thrombosis occurring before the diagnosis of ulcerative colitis.
• Clinical evaluation of a 44-year-old male with diarrhea and neurological symptoms
• Conducted CT scans revealing cerebral and visceral vein thrombosis
• Initiated treatment with 5-ASA following endoscopy that suggested ulcerative colitis.
• Initial symptoms included diarrhea, fever, and left-sided weakness; CT revealed cerebral venous sinus thrombosis
• Following 5-ASA treatment, symptoms of fever, diarrhea, and coagulation abnormalities improved
• Cerebral venous sinus thrombosis was confirmed to be associated with underlying ulcerative colitis.