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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cerebroangiogram Shows Sinus Thrombosis. Heaviness In Head, Blurred Eyesight, Pain In Head. Recurring Thrombosis?

Hello, I was confined last Sept 15, 2012 with initial diagnosis Diffuse Subarachnoid, stayed in the hospital for 13 days. After 1 m\week from discharge I went to another Neurologist in a reputable hospital and undergone CerebroAngiogram. Findings: Left Transverse Sinus thrombosis . For 3 weeks now I am experiencing heaviness at the top of head with scake 3 pain. Moreso,my right eye seem blurred and sometimes I feel shooting pain both left and right part of my head. Could this mean, I am having thrombosis again?
Thu, 14 Feb 2013
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Dear Mysoulrock,

Thanks for your question.

The facts presented are previous "diffuse subarachnoid" (hemorrhage or thrombosis?), left transverse sinus thrombosis, and your recent symptoms.

From these, I can deduce that you may have a tendency towards clot formation (though the reason for this is not quite apparent, from your story); and it is advisable to see a Hematologist (with interest in Coagulation disorders) and he should be able to place you on blood thinners (anticoagulants), while he investigates the actual underlying cause(s) of the clotting tendency.

However, if the "diffuse subarachnoid" happens to be hemorrhage, he is likely to be much more cautious, and may not readily prescribe anticoagulants, because of the significant risk of a repeat bleed.

As concerning your recent symptoms, they may be related to a new clot, or an extension of the previous one. Whichever way, its still good to see a doctor, have some coagulation tests (INR, aPTT, etc), possibly cranial CT/MRI and have a definitive diagnosis.

Kind regards.

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Cerebroangiogram Shows Sinus Thrombosis. Heaviness In Head, Blurred Eyesight, Pain In Head. Recurring Thrombosis?

Dear Mysoulrock, Thanks for your question. The facts presented are previous diffuse subarachnoid (hemorrhage or thrombosis?), left transverse sinus thrombosis, and your recent symptoms. From these, I can deduce that you may have a tendency towards clot formation (though the reason for this is not quite apparent, from your story); and it is advisable to see a Hematologist (with interest in Coagulation disorders) and he should be able to place you on blood thinners (anticoagulants), while he investigates the actual underlying cause(s) of the clotting tendency. However, if the diffuse subarachnoid happens to be hemorrhage, he is likely to be much more cautious, and may not readily prescribe anticoagulants, because of the significant risk of a repeat bleed. As concerning your recent symptoms, they may be related to a new clot, or an extension of the previous one. Whichever way, its still good to see a doctor, have some coagulation tests (INR, aPTT, etc), possibly cranial CT/MRI and have a definitive diagnosis. Kind regards.