Venous sinus thrombosis with venous hemorrhage


Cerebral venous sinus thrombosis can often present clinically in a very non-specific manner, and easily missed without a strong clinical suspicion.

This case demonstrates sequentially on cross sectional imaging the appearances of dural sinus thrombosis along with an associated hemorrhagic venous infarction and its maturation.

The thrombosis is evident as a hyperdense left transverse/sigmoid sinus - the cord sign.

The infarct and subsequent hemorrhage in a non-arterial distribution additionally alerts the viewer to the suspicion of a venous infarction.