REVESIBLE PARKINSONISM SECONDARY TO DCVST.
Abstract
Cerebral venous thrombosis refers to local clot formqtion and occlusion of intracranial venous structures. Cerebral venous sinus thrombosis (CVST) is a serious condition that manifests with a broad range of symptoms and indications. Approximately 10% of CVST patients experience involvement of the deep venous system, often alongside other sinuses and cortical veins. Typically, headache and altered mental state are the most prevalent clinical manifestations in cases of deep CVST (DCVST). However, it is exceedingly uncommon for DCVST to present as a movement disorder. Akinetic mutism is a rare neurological condition characterized by a state of reduced or absent voluntary movement and speech. It is typically caused by damage to the frontal lobe of the brain, often resulting from vascular abnormalities or lesions. One such potential cause is a dural arteriovenous (AV) fistula following cerebral venous thrombosis.
In this article, we present the case of a patient with DCVST who exhibited acute bradykinesia and impaired consciousness, accompanied by CT findings. (1,2)