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Dural venous sinus thrombosis and haemorrhage

Case contributed by: Dr Frank Gaillard

Presentation:

Severe headache.

Patient Data:

Age: 40 years
Gender: Female
Race: Caucasian
Modality: CT

 15 x 16 mm left medial frontal intracranial haemorrhage with minor surrounding vasogenic oedema. Multiple foci of haemorrhage are also seen within the left parieto-occipital lobe the largest measuring 10 mm by 10 mm. Remainder of brain parenchyma is within normal limits. Small amount of subarachnoid haemorrhage seen in the left frontal cerebral sulci. Hyperdense superior sagittal sinus noted. No hydrocephalus.

CT venogram

Modality: CT

Filling defect seen within the superior sagittal sinus, confluens sinuum, right and left transverse sinuses, left sigmoid sinus and jugular bulb.

Contrast opacification is seen of the inferior sagittal sinus, internal cerebral veins, basal veins of Rosenthal, vein of Galen, straight sinus, right sigmoid sinus and jugular bulb.

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