Bilateral internal cerebral vein thrombosis

Case contributed by Dr Y. Amy Chen

Presentation

Acute headache and impaired consciousness. Neurological exam was non-focal.

Patient Data

Age: 50 years
Gender: Male

Non-contrast CT demonstrates increased density within the deep cerebral veins bilaterally. There is also noticeable hypoattenuation of the bilateral thalami and basal ganglia related to edema. 

MRI demonstrates edema involving the bilateral thalami and basal ganglia. Corresponding MRV demonstrates absence of normal flow related signal within the deep cerebral veins. SWI demonstrates hemorrhages of the bilateral thalami. Findings were compatible with deep cerebral venous thrombosis.

Case Discussion

Deep cerebral venous thrombosis may involve the internal cerebral veins, Vein of Galen, straight sinus, or basal vein of Rosenthall. This may be isolated or more commonly result from extension of superficial venous thrombosis.

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Case information

rID: 51351
Published: 14th Feb 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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