Deep cerebral vein thrombosis with venous infarction

Case contributed by Dr Vinay V Belaval

Presentation

Slurred speech since 6 days

Patient Data

Age: 60 years
Gender: Male

MRI brain with venogram show absent flow signals in straight sinus, vein of Galen, bilateral internal cerebral veins and bilateral thalamo-striate veins, representing thrombosis. 

T2 and FLAIR hyperintense signals are noted in bilateral thalami, internal capsules, bilateral globus pallidi and pericaudate left white matter with facilitated diffusion and blooming on gradient imaging, consistent with venous hemorrhagic infarcts. Mild compression of third ventricle is noted. No hydrocephalus. 

Case Discussion

Knowing the pattern and areas of venous infarction helps in suspecting the presence of venous sinus thrombosis. 

Deep cerebral vein thrombosis commonly presents with bithalamic edema or infarction.

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Case information

rID: 82025
Published: 10th Sep 2020
Last edited: 11th Sep 2020
Inclusion in quiz mode: Included
Institution: Belcity Scan and Diagnostic Centre

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