Cerebral Venous Thrombosis in a Young Adult: A Case Report Highlighting Thrombophilia and Epilepsy Management

Abstract

Cerebral venous thrombosis (CVT) is a rare but serious condition that can lead to significant neurological complications if not promptly diagnosed and treated. This case report describes a 23-year-old male with a history of epilepsy, managed with sodium valproate, who presented with a sudden, severe headache and visual disturbances. Imaging revealed a linear filling defect in the straight sinus, consistent with CVT. Further investigation uncovered deficiencies in protein S and C, indicating an underlying thrombophilic condition. The patient was successfully treated with anticoagulation therapy, initially with enoxaparin followed by oral apixaban, resulting in the complete resolution of symptoms. This case shows the importance of considering thrombophilia in patients with CVT, especially those with a history of epilepsy, and demonstrates the effectiveness of early intervention with anticoagulants in achieving positive outcomes.