Venous distension sign

Last revised by Subhan Iqbal on 2 Mar 2021

The venous distension sign is a finding that may be identified on sagittal imaging of the dural venous sinuses which is said to have a diagnostic sensitivity and specificity of 94% for intracranial hypotension.

The sign is positive when there is a convex inferior margin of the midportion of the dominant transverse sinus on a sagittal image. This is distinct from the normal appearance of this segment which usually has a concave or straight lower margin 1,2.

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