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Update Date: 2009/06/02 15:05
A 24-year-old college student went to Taipei with friends during the Dragon Boat Festival holiday. After staying up late and not drinking water during the long bus ride back to Taichung, he felt exhausted, experienced pain in his right eye, and had a slight fever with vomiting. A clinic initially diagnosed it as a cold, but his family noticed he was unsteady while walking and kept veering to the right. He was then taken to Taichung Hospital’s emergency room, where he was diagnosed with a stroke caused by cerebral venous thrombosis. After receiving anticoagulant treatment, his condition quickly stabilized. (Reported by Kou Shijing)
Dr. Gao Chunde from the Department of Neurology at Taichung Hospital explained that the student, surnamed Li, traveled north with friends during the holiday. Upon returning to Taichung by bus, he felt fatigued, had right eye pain, and mild fever with vomiting. A clinic treated him for gastroenteritis triggered by a cold, but his condition did not improve after taking medication. Three days later, his family noticed he was unsteady while walking, kept leaning to the right, and had unusual eye movements. He was then rushed to the emergency room. Doctors found his left eye had blurred vision while his right eye appeared dull. After administering epilepsy medication to control visual seizure symptoms, further tests confirmed a stroke due to cerebral venous thrombosis.
Dr. Gao noted that venous strokes are a major cause of stroke in young people, with 15% of cases having no identifiable cause. After a series of examinations, it was determined that the student’s irregular lifestyle—staying up late during the four-day holiday, long-distance travel without drinking water—likely led to a temporary hypercoagulable state, resulting in thrombosis. (Possibly due to exhaustion from staying up late, long-distance travel, and dehydration during the holiday.)
After anticoagulant treatment, his condition stabilized quickly. Dr. Gao explained that strokes are usually caused by arterial blockages, followed by cerebral hemorrhage and subarachnoid hemorrhage from ruptured aneurysms. Venous thrombosis can occur in many parts of the body, most commonly in the deep veins of the lower limbs, but cerebral venous thrombosis is relatively rare, accounting for only 0.5% of all strokes. The mortality rate is not high, around 10%, but untreated patients may face a mortality rate of 13.8–48%. About two-thirds of patients recover fully after treatment. Early symptoms are often atypical, such as headaches, nausea, vomiting, drowsiness, or even focal neurological deficits like visual field loss, limb weakness, or double vision, which may lead to the discovery of a stroke.
Source: http://tw. news. yahoo. com/ article/ url/ d/ a/ 090602/ 1/ 1kiv9. html
College Student's Vein Stroke from Overexertion
A 24-year-old college student went to Taipei with friends during the Dragon Boat Festival holiday. After staying up late and not drinking water during the long bus ride back to Taichung, he felt exhausted, experienced pain in his right eye, and had a slight fever with vomiting. A clinic initially diagnosed it as a cold, but his family noticed he was unsteady while walking and kept veering to the right. He was then taken to Taichung Hospital’s emergency room, where he was diagnosed with a stroke caused by cerebral venous thrombosis. After receiving anticoagulant treatment, his condition quickly stabilized. (Reported by Kou Shijing)
Dr. Gao Chunde from the Department of Neurology at Taichung Hospital explained that the student, surnamed Li, traveled north with friends during the holiday. Upon returning to Taichung by bus, he felt fatigued, had right eye pain, and mild fever with vomiting. A clinic treated him for gastroenteritis triggered by a cold, but his condition did not improve after taking medication. Three days later, his family noticed he was unsteady while walking, kept leaning to the right, and had unusual eye movements. He was then rushed to the emergency room. Doctors found his left eye had blurred vision while his right eye appeared dull. After administering epilepsy medication to control visual seizure symptoms, further tests confirmed a stroke due to cerebral venous thrombosis.
Dr. Gao noted that venous strokes are a major cause of stroke in young people, with 15% of cases having no identifiable cause. After a series of examinations, it was determined that the student’s irregular lifestyle—staying up late during the four-day holiday, long-distance travel without drinking water—likely led to a temporary hypercoagulable state, resulting in thrombosis. (Possibly due to exhaustion from staying up late, long-distance travel, and dehydration during the holiday.)
After anticoagulant treatment, his condition stabilized quickly. Dr. Gao explained that strokes are usually caused by arterial blockages, followed by cerebral hemorrhage and subarachnoid hemorrhage from ruptured aneurysms. Venous thrombosis can occur in many parts of the body, most commonly in the deep veins of the lower limbs, but cerebral venous thrombosis is relatively rare, accounting for only 0.5% of all strokes. The mortality rate is not high, around 10%, but untreated patients may face a mortality rate of 13.8–48%. About two-thirds of patients recover fully after treatment. Early symptoms are often atypical, such as headaches, nausea, vomiting, drowsiness, or even focal neurological deficits like visual field loss, limb weakness, or double vision, which may lead to the discovery of a stroke.
Source: http://tw. news. yahoo. com/ article/ url/ d/ a/ 090602/ 1/ 1kiv9. html