Cerebral venous sinus thrombosis presenting with auditory hallucinations and illusions

Victoria S S Wong, Peter Adamczyk, Brian C Dahlin, David P Richman, Vicki L Wheelock

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

OBJECTIVE: Cerebral venous sinus thrombosis may present with seizures or neuropsychiatric symptoms, but does not typically present with hallucinations. We present a case of venous thrombosis of the right sigmoid and transverse sinuses that presented with auditory hallucinations and illusions. METHODS: We describe a 45-year-old woman with a history of myasthenia gravis, stable on oral prednisone and monthly intravenous immunoglobulin infusions, who started on a progesterone/estrogen combination contraceptive pill for menorrhagia 3 weeks before admission and presented with symptoms of headache, fever, and auditory hallucinations and illusions. RESULTS: The patient's cerebrospinal fluid showed lymphocytic pleocytosis. Two electroencephalograms showed significant right temporal lobe slowing. Magnetic resonance venogram of the brain showed venous sinus thrombosis of the right sigmoid and transverse sinuses. Magnetic resonance imaging showed a cortical venous infarct in the right middle temporal gyrus. The patient's auditory hallucinations and illusions resolved spontaneously weeks after presentation. CONCLUSIONS: This case suggests that auditory hallucinations and illusions should be added to the already broad spectrum of presenting features of cerebral venous sinus thrombosis. The nondominant right middle temporal gyrus may play a role in such auditory hallucinations.

Original languageEnglish (US)
Pages (from-to)40-42
Number of pages3
JournalCognitive and Behavioral Neurology
Volume24
Issue number1
DOIs
StatePublished - Mar 2011

Fingerprint

Intracranial Sinus Thrombosis
Hallucinations
Venous Thrombosis
Temporal Lobe
Transverse Sinuses
Sigmoid Colon
Menorrhagia
Intravenous Immunoglobulins
Myasthenia Gravis
Leukocytosis
Contraceptive Agents
Prednisone
Intravenous Infusions
Progesterone
Headache
Cerebrospinal Fluid
Electroencephalography
Estrogens
Seizures
Fever

Keywords

  • brain
  • Cerebral thrombosis
  • hallucinations auditory
  • illusions auditory
  • sinus thrombosis
  • venous infarction

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Psychiatry and Mental health
  • Cognitive Neuroscience

Cite this

Cerebral venous sinus thrombosis presenting with auditory hallucinations and illusions. / Wong, Victoria S S; Adamczyk, Peter; Dahlin, Brian C; Richman, David P; Wheelock, Vicki L.

In: Cognitive and Behavioral Neurology, Vol. 24, No. 1, 03.2011, p. 40-42.

Research output: Contribution to journalArticle

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