COVID-19 associated acute cerebral venous thrombosis

Case contributed by Bahman Rasuli
Diagnosis certain


New-onset headaches and history of COVID-19 pneumonia with positive PCR test, fever, and dyspnea from 9 days ago.

Patient Data

Age: 45 years
Gender: Male

Bilateral multilobar ground-glass opacities are seen at the lungs mostly with the peripheral distribution.

Absent normal signal void of superior sagittal sinus, right sigmoid and transverse sinuses

Few high signal foci in T2 and flair sequences at subcortical and periventricular white matter of both cerebral hemispheres depict microvascular ischemic events.

Intraluminal filling defects within the superior sagittal sinus and right sigmoid and transverse sinus after contrast injection compatible with sinus venous thrombosis.

Case Discussion

 Cerebral venous sinus thrombosis and pneumonia in association with COVID-19.

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