Dural venous sinus thrombosis and hemorrhage

Case contributed by Assoc Prof Frank Gaillard


Severe headache.

Patient Data

Age: 40 years
Gender: Female

 15 x 16 mm left medial frontal intracranial hemorrhage with minor surrounding vasogenic edema. Multiple foci of hemorrhage are also seen within the left parieto-occipital lobe the largest measuring 10 mm by 10 mm. Remainder of brain parenchyma is within normal limits. Small amount of subarachnoid hemorrhage seen in the left frontal cerebral sulci. Hyperdense superior sagittal sinus noted. No hydrocephalus.


CT venogram

Filling defect seen within the superior sagittal sinus, confluens sinuum, right and left transverse sinuses, left sigmoid sinus and jugular bulb.

Contrast opacification is seen of the inferior sagittal sinus, internal cerebral veins, basal veins of Rosenthal, vein of Galen, straight sinus, right sigmoid sinus and jugular bulb.

Case Discussion

Classic vascular distribution of superior sagittal sinus thrombosis.

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Case information

rID: 21032
Published: 30th Dec 2012
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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