Cerebral venous thrombosis
Excessive alcohol intake from past 5 days. Presented with headache and weakness of left upper and lower limb.
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Hyperdense bilateral transverse, straight and superior sagittal sinuses. Hyperdensity in the left parietal sulcal space.
Subtle hypodensity in the right parasagittal frontal lobe with subtle hyperdense areas.
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Findings are consistent with cerebral venous thrombosis with early evolving haemorrhagic venous infarct.
The findings were also confirmed with MRI (not shown here) which showed hypointensity in the expanded venous sinuses (acute thrombosis) with no flow on MRV. Also there was diffusion restriction in the right parasagittal frontal region which also had areas of blooming on GRE sequence.
Patient responded well to anti-coagulant therapy.
Excessive alcohol intake may lead to a state of dehydration and may result in CVT 1.
- 1. Harpreet Singh. A Rare Presentation of Acute Alcohol Intoxication, Subarachnoid Haemorrhage and Cortical Venous Sinus Thrombosis. 05;2 (2): .