Cerebral sinus venous thrombosis with lobar hemorrhage

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Acute onset of aphasia and right paraplegia.

Patient Data

Age: 22 years
Gender: Female
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Info

Acute lobar hematoma (2.9 x 2.1 cm) is seen in the right temporo-occipital region with surrounding edema.

The hyperdense appearance of the superior sagittal sinus and right transverse and sigmoid sinuses is noted.

The rest of the brain parenchyma is normal.

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Axial
T2
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FLAIR
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Gradient Echo
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DWI
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ADC
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Axial Thin slice
T2 fat sat
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Sagittal
MRV
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Axial T1
C+ fat sat
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Info

Acute lobar hematoma with surrounding edema in the right temporoparietal region.

Extensive filling defects involving the cerebral superficial cortical veins, superior sagittal sinus extending to the torcular herophili, right transverse sinus, and right sigmoid sinus.

Case Discussion

Cerebral venous sinus thrombosis is a well-known cause of lobar hemorrhage in young patients.

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