Cerebral venous thrombosis (CVT)

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Headache with generalized tonic-clonic seizure in a patient with sickle cell disease.

Patient Data

Age: 15 years
Gender: Female

Area of venous infarction in the right temporal region of low signal on T1 and high signal on T2 with no hemorrhagic component on the GE sequence.

Thrombosis of the left lateral and sigmoid sinuses, extending to the ipsilateral internal jugular vein as well as to an adjacent temporal cortical vein, which appear high signal on T1, T2, and FLAIR with loss of their signal void on MRV 2D-TOF.

Case Discussion

MRI features of a cerebral venous thrombosis with cerebral venous infarction in a patient with sickle cell disease.

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