2017 Volume 59 Issue 7 Pages 1492-1498
We experienced a case of ulcerative colitis complicated with cerebral sinus thrombosis. A 52-year-old male with ulcerative colitis was hospitalized because of hemiplegia of the right upper limb. Computed tomography revealed a high-density area in the parietal lobe. Magnetic resonance imaging disclosed a high-signal-intensity area in the frontal lobe on T2 and diffusion weighted image. Cerebral angiography revealed an obstruction of the superior sagittal sinus. Cerebral sinus thrombosis was diagnosed. Anticoagulant therapy was administered for seven days, but his symptoms and MRI findings did not improve. Therefore, urgent surgical decompression was performed and he survived. Ulcerative colitis complicated with cerebral sinus thrombosis is rare in Japan.
