Journal of Shahrekord University of Medical Sciences
J Shahrekord Univ Med Sci. 2020;22(2): 102-105.
doi: 10.34172/jsums.2020.16
  Abstract View: 109
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Case Report

Sigmoid sinus thrombosis in an elderly client with chronic varicose vein in the leg: a case report

Azadeh Kamali 1 * ORCID logo, Mahdieh Arian 2,3 ORCID logo, Parisa Arashnia 4 ORCID logo, Zakiyeh Amini 1 ORCID logo, Mostafa Roshanravan 1 ORCID logo

1 Department of Nursing, Faculty of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, IR Iran.
2 Department of Nursing, School of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran.
3 Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
4 Infectious Disease Specialist, North Khorasan University of Medical Sciences, Bojnurd, Iran.
*Corresponding Author: Azadeh Kamali, Tel: +98-5832296909, Email: a.kamali@nkums.ac.ir

Abstract

Dehydration and malignancies are known as the most frequent predisposing factors of cerebral venous sinus thrombosis in older adults despite the fact that 30% of them remain idiopathic cerebral venous thrombosis (CVT) cases with no clear etiology. Cases of left sigmoid sinus involvement were rarely reported. Herein, an elderly case of sigmoid sinus thrombosis with unilateral hearing loss with chronic varicose vein in the leg was reported. Sigmoid sinus thrombosis that affects hearing is one of the rare complications of otitis media. Whether or not a large chronic varicose vein in the leg can serve as a predisposing factor for CVT requires further studies. Successful management of anticoagulant therapy prevented serious complications in the patient.
Keywords: Sigmoid sinus thrombosis, Cerebral sinus thrombosis, Unilateral hearing loss, Elderly patients, Varicose vein
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Submitted: 28 Oct 2019
Accepted: 08 Jan 2020
ePublished: 29 Apr 2020
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