Dural venous sinus thrombosis

Case contributed by Dr Varun Babu

Presentation

Witheld

Patient Data

Age: 45 years
Gender: Male

CT brain

Modality: CT

see below

CT cerebral venography

Modality: CT

see below 

Modality: Annotated image

See description below

Case Discussion

This middle aged gentleman came with slurred speech and acute onset right sided weakness. Stroke was suspected clinically and he was subjected to a CT brain study.

The finding of left hemispheric edema, with a dense left transverse sinus described as the cord sign, despite the contralateral sinus being the dominant one raised the suspicion of a venous infarct.

The absence of a territorial arterial infarction prompted for a CT venography study which confirmed a filling defect in left transverse sinus suggestive of dural sinus thrombosis. 

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Case Information

rID: 46855
Case created: 20th Jul 2016
Last edited: 21st Jul 2016
Inclusion in quiz mode: Included

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