A Rare Presentation of Acute Alcohol Intoxication, Subarachnoid Haemorrhage and Cortical Venous Sinus Thrombosis

摘要

We report a case of cortical venous sinus thrombosis presenting as subarachnoid haemorrhage in a young male with no underlying predisposition after a bout of acute alcohol intoxication. Radiological imaging proved him to have both subarachnoid hemorrhage and cortical venous thrombosis. After ruling out all differentials, a role of alcohol responsible for the dual occurrence of a cerebral cortical venous thrombosis with subarachnoid hemorrhage was thought and institution of therapy with low molecular weight heparin promptly improved his symptoms and with time he recovered and was discharged on warfarin. Warfarin was discontinued after 3 months and patient remains asymptomatic after 1 year of regular follow-up.doi:10.4021/jnr97w