Cerebral venous haemorrhagic infarction

Case contributed by Dr Bruno Di Muzio

Presentation

Awaking with R sided weakness and dysphasia. Background of non-small cell lung cancer, being treated with chemo and radiotherapy.

Patient Data

Age: 55 years
Gender: Male
CT

CT Brain

There confluent haemorrhagic foci within the left temporal lobe in a peripheral subcortical distribution associated with surrounding oedema. The distribution is atypical for an infarct involving the left MCA territory. Note is made to a filling defect within the torcula Herophili (empty delta sign) and hyperdense left transverse dural venous sinus. 

MRI

MRI Brain (Venogram)

MRI confirms the venous haemorrhagic infarct within the left temporal lobe and thrombosis within the left transverse and sigmoid dural venous sinuses. 

Case Discussion

This is a case that should prompt you to consider venous infarction upon reviewing the first non-contrast CT imaging. The left temporal lobe haemorrhagic infarction has a gyriform pattern within a non-arterial location/territory. 

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Case information

rID: 57576
Case created: 2nd Jan 2018
Last edited: 15th Jan 2018
Inclusion in quiz mode: Included

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