Deep cerebral vein thrombosis

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Headache, blurring of vision, post partum since 2 months.

Patient Data

Age: 20 years
Gender: Female
CT

CT venography of the brain

Diffuse hyperdensity of internal cerebral veins bilaterally along with the vein of galen and the straight sinus. The luminal thrombus is seen on post contrast study (deep cerebral vein thrombosis).

Hypodensity is noted along the left thalamus as well as both caudate nuclei, more on the left side… In keeping with venous infarcts.

Case Discussion

Hypercoagulable state is a recognised predisposing factor for venous thrombosis, so postpartum period is likely to be a predisposing factor in this case. Deep cerebral vein thrombosis is usually associated with changes of basal ganglia such as oedema, venous infarction and haemorrhage.  CT venogram is most sensitive and the thrombus appears as filling defects in the veins involved.  

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Case information

rID: 52885
Case created: 24th Apr 2017
Last edited: 4th May 2017
Inclusion in quiz mode: Included

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