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Multiple Sclerosis
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Cerebral venous thrombosis and demyelinating diseases: report of a case in a clinically isolated syndrome suggestive of multiple sclerosis onset and review of the literature

Maurizia Maurelli

Multiple Sclerosis Centre, IRCCS C. Mondino Institute of Neurology, Pavia, Italy, maurizia.maurelli{at}mondino.it

Roberto Bergamaschi

Multiple Sclerosis Centre, IRCCS C. Mondino Institute of Neurology, Pavia, Italy

Elisa Candeloro

Multiple Sclerosis Centre, IRCCS C. Mondino Institute of Neurology, Pavia, Italy

Alessandra Todeschini

Neuroradiology Service, IRCCS C. Mondino Institute of Neurology, Pavia, Italy

Giuseppe Micieli

Stroke Unit, IRCCS C. Mondino Institute of Neurology, Pavia, Italy

Cerebral venous thrombosis (CVT) has been described in several cases of clinically definite multiple sclerosis (MS). In the majority of these, lumbar puncture followed by intravenous corticosteroid treatment was suspected as the cause. We report what is, to our knowledge, the first case of a patient with a multifocal clinically isolated syndrome suggestive of MS onset, who developed multiple CVT after lumbar puncture and during high-dose i.v. corticosteroid treatment. We conclude that the sequence ‘lumbar puncture followed by corticosteroid treatment’ may be a contributory risk factor for the development of CVT when associated with other risk factors.

Key Words: cerebral venous thrombosis • continuous headache • intravenous high-dose corticosteroids • lumbar puncture • multiple sclerosis • risk factors

Multiple Sclerosis, Vol. 11, No. 2, 242-244 (2005)
DOI: 10.1191/1352458505ms1125cr
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