Cerebral venous thrombosis

Case contributed by Dr Ayush Goel

Presentation

Excessive alcohol intake from past 5 days. Presented with headache and weakness of left upper and lower limb.

Patient Data

Age: 40 yrs
Gender: Male
Modality: CT

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.

Case Discussion

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.

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Case Information

rID: 29426
Case created: 24th May 2014
Last edited: 17th Jan 2017
Inclusion in quiz mode: Included

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