Severe Headache and Hypertension due to Cerebral Venous Sinus Thrombosis in a Patient With Cervical Spinal Cord Injury: A Case Report

Autonomic dysreflexia, common in cervical spinal cord injury, can cause headaches and high blood pressure. This report highlights the need to consider cerebral vein thrombosis as a differential diagnosis because it presents with similar symptoms. Cerebral vein thrombosis is a rare condition often linked to factors like contraceptive use or head injuries. Symptoms vary, delaying diagnosis. This case emphasizes its occurrence in polytrauma patients, particularly those with head injuries. The study presents a case where a patient with cervical spinal cord injury, experiencing headache and hypertension, was found to have cerebral vein thrombosis. This suggests careful evaluation for thrombosis in similar cases.

• 1
  A patient with cervical spinal cord injury initially suspected of autonomic dysreflexia was diagnosed with cerebral venous sinus thrombosis after presenting with severe headache and hypertension.
• 2
  Imaging examinations are crucial in differentiating between autonomic dysreflexia and cerebral vein thrombosis in patients with spinal cord injuries who present with headache and hypertension.
• 3
  Prompt diagnosis and treatment with anticoagulants, such as low-molecular-weight heparin and warfarin, can lead to improvement in patients with cerebral vein thrombosis and spinal cord injury.