IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Cerebral venous infarct

Case contributed by Joe Cyriac
Diagnosis almost certain

Presentation

Leg weakness

Patient Data

Age: 80 years
Gender: Female
ct

There is a redemonstrated acute/subacute venous infarct centered in the right basal
ganglia. There are tiny areas of hemorrhage within this which are stable and there is stable mass effect and midline shift.

mri

This abnormal MR venography of the brain suggests thrombosis of the right internal cerebral vein and thalamostriate branches which are not visualized as compared to the contralateral patent left internal cerebral vein and patent thalamostriate branches.

There is a component of chronic dural venous sinus thrombosis with non-visualization
of the straight sinus and inferior sagittal sinus as well as diminutive appearance of the left sigmoid sinus and transverse sinus.

Case Discussion

This case demonstrates abnormal MR venography of the brain suggesting thrombosis of the right
internal cerebral vein and thalamostriate branches.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.