Galen Vein Thrombosis With Bilateral Thalamus Infarction

TL;DR: This paper presents the results of a clinical trial conducted at the Shahid Beheshti University of Medical Sciences in Tehran in June 2016 on the basis of eight patients diagnosed with central giant cell granuloma with a history of multiple organ failure.

Abstract: Introduction: Deep venous thrombosis presents with different clinical symptoms and signs, which can be diagnosed incorrectly. Bilateral thalamus infarction is one of the rare manifestations which can be misinterpreted as a different diagnosis and lead to mismanagement. Case Presentation: We reported a 37-year-old female referred to the emergency department with headache, left side weakness, seizure and alteration of consciousness at the admission time. She had been misdiagnosed with brain tumor because of her imaging results at first. However, in the follow up, she was diagnosed with deep cerebral venous thrombosis of the vein of Galen based on the brain magnetic resonance imaging (MRI) result. Afterwards, she was treated by anticoagulant (heparin) and recovered well. Conclusions: This case was presented to emphasize the importance of different manifestations of deep vein thrombosis which can lead to delayed appropriate treatment due to misdiagnosis.