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    Uploadan Stroke

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    of 1

    120 Abstracts / Journal of the Neurological Sciences 405S (2019) 116543

    WCN19-2200
    Journal of the Neurological Sciences 405S (2019) 105457

    Poster Session 4

    Cerebral venous thrombosis: An uncommon presentation of a


    common disease: The Masquerade

    K.V. Surendra, S. Nagarjunakonda Venkata, R. Vemuri


    Guntur Medical College, Department of Neurology, Guntur, India

    Background
    Cerebral venous sinus thrombosis (CVST) is a rare and potentially
    deadly condition. The etiology of CVST is complicated. Its clinical
    features lack specificity. A specific age group has not been identified
    as at risk in the literature, and it is not uncommon that a
    precipitating condition will not be identified.

    Objective
    To report an unusual case of headache and ascites.

    Method
    We report a case of 55 year old male presenting with complaints of
    headache, vomiting, abdominal distension and decreased urine output
    since one week. On examination he had facial puffiness, pedal edema and
    ascites. Neurological examination including fundus was normal. A work
    up was done for evaluation of above complaints and routine investiga-
    tions were normal except mildly elevated serum creatinine. Further
    work-up revealed grade 1 renal parenchymal disease with 24 h urine
    protein of 1.5gm/900 ml. In view of persistent headache CT brain was
    done which showed hyperdense superior sagittal sinus. MRI brain with
    MRV revealed left transverse sinus, superior sagittal sinus, and right There is little information available in Latin America. We evaluate the
    transverse sinus thrombosis. An etiological work up further revealed the frequency of the most common symptoms according to the
    cause as membranous glomerulonephritis secondary to SLE. literature; its relationship with sociodemographic factors, treatment
    and type of migraine.
    Conclusion
    CSVT is a relatively rare complication of SLE, and even more rare Materials and methods
    to be a presenting diagnosis of SLE in elderly. This case report A questionnaire was conducted from April to July 2019, on an
    highlights the importance of etiological work up of CSVT. Thus, one outpatient basis, a questionnaire for patients aged 18 to 65, with
    should be aware of this rare but potentially fatal complication of SLE. high-frequency episodic migraine (HFEM), diagnosed by neurolo-
    gists under the ICHD-3 criteria. Patients with other types of migraine
    doi:10.1016/j.jns.2019.10.1796 or association of another type of headache were excluded.
    Sociodemographic data, type of treatment, type of migraine and
    presence of 12 symptoms were asked; being premonitory when at
    least 2 out of 3 attacks preceded, Chi Square test with epi-info7 was
    performed.
    WCN19-2204
    Results
    Journal of the Neurological Sciences 405S (2019) 105458
    64 patients were included, women 93% (60/64). Median age
    40 years, With aura 48% (31/64), preventive therapy 42% (27/64);
    Poster Session 4 high school and university education 96% (62/64). Overall frequency
    96.6% (62/64), average of symptoms per patient was 3.8. Most frequent
    Premonitory symptoms in episodic migraine: A retrospective symptoms: fatigue 34% (22/64), yawn 30% (19/64), neck discomfort
    study in Cartagena, Colombia 53% (34/64), difficulty concentrating 40% (26/64), irritability 30% (19/
    64), Nausea 41% (26/64), insomnia 34% (22/64), food cravings 31% (20/
    G. Gaitan Quintero, A. Pabon Moreno, E. Usta Agamez, L. Camargo 64). No statistical correlations were found.
    Camargo, E. Castillo Tamara
    University of Sinú, Neurology, Cartagena, Colombia Conclusions
    Premonitory symptoms were frequent in selected patients with
    Introduction HFEM. Prospective studies are required in Latin America.
    Migraine is the leading neurological cause of work absenteeism in
    the world; Non-painful symptoms that appear hours or days before doi:10.1016/j.jns.2019.10.1797
    the attack and that can help predict it are described as premonitory;

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