Cerebral venous sinus thrombosis

Case contributed by Dr Brendon Friesen

Presentation

Headache. Previous craniotomies for pilocytic astrocytoma; ventriculo-peritoneal shunt.

Patient Data

Age: 40
Gender: Male

Marked hyperattenuation and distension of superior sagittal and right transverse sinuses.

No intracranial hemorrhage.

VP shunt noted.

Left perisylvian surgical cavity with calcifications.

Extensive  filling  defects in  the  superior  sagittal  and  right  transverse  sinuses. Associated hemosiderin staining. No parenchymal hemorrhage or infarction.

Several enhancing nodules  at margin of surgical defect in left perisylvian region, in keeping with residual tumor. Associated pial hemosiderin staining and gyriform T1 hyperintensity unchanged from 6 months previous. No history of radiotherapy.

Case Discussion

Acute/subacute superior sagittal and right transverse sinus thrombosis.

No associated hemorrhage or infarction.

Acknowledgements:

Dr Mihir Patel

A/Prof Nick Ferris

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Case information

rID: 30941
Case created: 10th Sep 2014
Last edited: 7th Oct 2015
Inclusion in quiz mode: Included

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