Trolard vein thrombosis: A case report

Sha'aban, Feras and Al-Lozi, Rakan and Al-Btoush, Assem Al-Njeiden and Romman, Khalid Abu and Al-Habashneh, Esra'a and Al-Shurbaji, Doaa and Khalid, Tareq Bani (2025) Trolard vein thrombosis: A case report. World Journal of Biology Pharmacy and Health Sciences, 23 (1). pp. 171-183. ISSN 2582-5542

An uncommon condition that has the potential to be fatal is known as 'cerebral venous thrombosis' (CVT). Bleeding and damage to veins are also possible outcomes. There is a significant venous draining pathway known as the superior anastomotic vein, also known as the vein of Trolard. This vein links the superficial middle cerebral vein to the superior sagittal sinus. In spite of the fact that thrombosis in this vein is very rare, it has the potential to obstruct the flow of blood out of the body and contribute to significant neurological disorders. A lady who is forty years old and has just begun taking oral contraceptives is the subject of our attention. Due to the fact that her type 2 diabetes mellitus (HbA1c 8.6%) was not being treated, she recently suffered from Trolard vein thrombosis with haemorrhagic conversion. In addition to having a bad headache, the patient had difficulty speaking and moving their lips, and they experienced a little weakness on the right side of their body. It was determined via imaging that the tumour located on the left parietal region was packed with thrombosis and had bleeding that had reached the superior sagittal sinus system. During the time that she was receiving split heparin and coumadin, she was under strict observation for any symptoms of brain damage. In this particular instance, it is shown how vital it is to detect CVT in those who are at a high risk, as well as how essential it is to provide anticoagulation even while there is bleeding.