Cerebral venous infarct

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Convulsions.

Patient Data

Age: 30
Gender: Female
MRI

MRI Brain

T2 hyperintense signal noted at the posterior aspect of the right lentiform, lateral aspect of the right thalamus, body of the right caudate with diffusion restriction and blooming at the right internal cerebral vein (deep venous cerebral infarct).

T2 hyperintense signal noted at the left frontal cortical and subcortical region with diffusion restriction related to a bloomed cortical vein. A small T2 hypointense parenchymal hemorrhage, with blooming on SWI sequence (hemorrhagic venous cerebral infarct).

Diffuse pachymeningeal enhancement noted at contrast enhanced T1 WI.

MRI

MR venography

Non-opacified thrombosed anterior segment of the superior sagittal venous sinus and the related frontal cortical veins bilaterally, right vein of Trolard, right internal cerebral vein, straight venous sinus and left transverse and sigmoid venous sinuses.

Partial thrombosis of posterior segment of the superior sagittal sinus, right transverse and sigmoid venous sinuses.

Case Discussion

This case demonstrates deep cerebral venous thrombosis with a related venous infarct, left frontal cortical vein thrombosis with a related hemorrhagic venous infarct as well as dural venous sinus thrombosis.

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Case information

rID: 53627
Case created: 27th May 2017
Last edited: 30th May 2017
Inclusion in quiz mode: Included

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