Dural venous thrombosis

Case contributed by Lam Van Le
Diagnosis certain

Presentation

Headache, right hemiplegia.

Patient Data

Age: 45 years
Gender: Female
mri
This study is a stack
Axial
FLAIR
This study is a stack
Axial
Gradient Echo
This study is a stack
Axial
T2
This study is a stack
Coronal
T2
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
This study is a stack
Axial
T1
This study is a stack
Sagittal
T1
This study is a stack
Sagittal
MRV
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Coronal T1
C+ fat sat
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
Axial
MRA
Show annotations
Download
Info

Scattered cerebral haemorrhages in the left temporal region with surrounding brain oedema. The haemorrhagic foci show low signal on GRE, high signal on T1W and T2W, with diffusion restriction.

Increased signal intensity on T1W, T2W, and FLAIR in the left transverse sinus, sigmoid sinus, and internal jugular vein; low signal on GRE, with absence of flow on MRV and enhancement on T1FS + GD; findings consistent with venous sinus thrombosis.

No arterial abnormalities detected on MRA.

Case Discussion

Imaging findings are consistent with dural venous sinus thrombosis causing cerebral venous infarction, manifesting with haemorrhage.

The patient was treated with anticoagulation therapy.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.