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Depression in a case of cerebral venous sinus thrombosis
Therissa Benerji1, Shailaja Bandla2, Krishna Mohan Parvathaneni2
1 Senior Resident, Department of Psychiatry, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada, Andhra Pradesh, India
2 Associate Professor, Department of Psychiatry, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada, Andhra Pradesh, India
Correspondence Address:
Therissa Benerji,
Department of Psychiatry, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada, Andhra Pradesh
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/amh.amh_68_22
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Venous hemorrhagic infarct due to cerebral venous sinus thrombosis (CVST) is associated with poor prognosis. A 30-year-old woman was brought to the emergency room with an episode of generalized tonic–clonic seizure, diagnosed with CVST involving superior sagittal sinus and right transverse sinus, and referred to psychiatry in view of symptoms of depression. Mental state examination revealed poor eye contact, decreased personal hygiene, hopelessness, and worthlessness in thought content with a sad mood and affect. A diagnosis of organic depressive disorder was made and managed with sertraline 50 mg/day. Timely diagnosis along with methodical therapeutic management of CVST reduces mortality and morbidity. This case report highlights the importance of being familiar with varied presentations and neuropsychiatric manifestations of CVST.
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