Hypoplasia of the rostral superior sagittal sinus

Case contributed by Mohamed Saber
Diagnosis almost certain

Presentation

Chronic headache.

Patient Data

Age: 30 years
Gender: Female

Non- enhanced MR venogram study (TOF) shows hypoplastic rostral superior sagittal sinus with compensatory drainage via bilateral parasagittal frontal cortical veins, larger at the right side.

Hypoplastic left transverse & sigmoid sinuses, as well as left jugular bulb, are also noted.

Case Discussion

Here is a case of multiple anatomic variations of the dural venous sinuses that should be well known to avoid misinterpretation as dural sinus thrombosis.

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