Cerebral venous infarction

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Sudden onset of severe headache and dizziness with vomiting

Patient Data

Age: 55 years
Gender: Female
Modality: MRI
  • A left temporo-occipital cortical and subcortical area of low T1, high T2 and FLAIR signals with restricted diffusibility showing high DW and low ADC signal.
  • The left jugular vein as well as the left sigmoid and transverse sinuses appear distended with hyperintense signal within. 
  • Left otomastoiditis with T2 prolongation. 
  • Few left frontal subcortical and bilateral pontine small ovoid foci of bright T2 / FLAIR signals are seen.  
Modality: MRI

The patient underwent MRV brain which confirmed venous sinus thrombosis . Axial T2 of the brain showed enlarging left temporo-occipital sub acute hemorrhagic venous infarction. 

Case Discussion

  • Left temporo-occipital cortical and subcortical acute hemorrhagic venous infarction with acute left IJV, sigmoid sinus and transverse sinuses thrombosis mostly 2ry to left otomastoiditis.
  • Left frontal subcortical and bilateral pontine small ischemic foci. 
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Case Information

rID: 25109
Case created: 5th Oct 2013
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

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