Presentation
Severe headache.
Patient Data
15 x 16 mm left medial frontal intracranial hemorrhage with minor surrounding vasogenic edema. Multiple foci of hemorrhage 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 hemorrhage seen in the left frontal cerebral sulci. Hyperdense superior sagittal sinus noted. No hydrocephalus.
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.
Case Discussion
Classic vascular distribution of superior sagittal sinus thrombosis.
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