Cerebral venous hemorrhagic infarction

Case contributed by Dr Bruno Di Muzio


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 Brain

There confluent hemorrhagic foci within the left temporal lobe in a peripheral subcortical distribution associated with surrounding edema. 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 Brain (Venogram)

MRI confirms the venous hemorrhagic 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 hemorrhagic infarction has a gyriform pattern within a non-arterial location/territory. 

PlayAdd to Share

Case information

rID: 57576
Published: 12th Jan 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.