Dural venous sinus thrombosis - empty delta sign

Case contributed by Andrei Dumitrescu
Diagnosis certain

Presentation

Paroxysmal headache.

Patient Data

Age: 40 years
Gender: Female

CT venography demonstrates hypoattenuating thrombus in the posterior sagittal sinus, the straight sinus, as well as the transverse and sigmoid sinus especially on the left, extending into the left jugular vein. The "empty delta sign" is visible on axial scans at the level of the posterior superior sagittal sinus.

Case Discussion

This female patient presented with paroxysmal headache. The patient was taking oral contraceptives at the time, which along with her age and gender placed her in a high-risk group for dural sinus thrombosis.

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