Dural venous sinus thrombosis

Case contributed by Dr Varun Babu

Presentation

Witheld

Patient Data

Age: 45 years
Gender: Male
CT

CT brain

see below

CT

CT cerebral venography

see below 

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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