Cerebral vein thrombosis: internal

Case contributed by A.Prof Frank Gaillard
CT

CT brain

Non-contrast CT of the brain demonstrate hyperdense internal cerebral veins, vein of Galen and straight sinus. Note the bilateral thalamic edema  most marked on the right.  A region of low attenuation in the right parietal region is old (seen on previous scans - not shown). 

CT

CT venogram

CT venogram confirms absence of enhancement of the internal cerebral veins, vein of Galen and straight sinus.

CT

CT brain: 1 day later

Single image through the brain obtained the next day demonstrates prominent low density change involving both thalami and basal ganglia. Hyperdense viens are again seen. 

CT

CT brain: 2 days later

A right sided thalamic venous hemorrhage has developed. 

Case Discussion

Internal cerebral vein thrombosis can be difficult to identify if the reporting radiologist is not familiar with the condition and should be suspected in cases of bilateral thalamic edema. 

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Case information

rID: 4409
Published: 20th Aug 2008
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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