Intracranial hypertension secondary to cerebral venous thrombosis

Case contributed by Dr Ammar Haouimi

Presentation

Sudden onset of severe headaches, vomiting

Patient Data

Age: 35 years
Gender: Male

The MRI sequences demonstrate:

  • Thrombosis of the cerebral venous sinuses mainly the superior sagittal sinustransverse/sigmoid sinuses, and right jugular vein which appear of high signal on T1WI/FLAIR and iso-to high signal on T2WI (subacute phase) with loss of their signal void on contrast MR venography.
  • signs of secondary intracranial hypertension
    • enlarged subarachnoid space around the optic nerves
    • vertical tortuosity of the optic nerves

    • flattening of the posterior sclera bilaterally 

    • intraocular protrusion of the optic nerve head
    • Partially empty sella turcica
    • moderate enlargement of the Meckel cave mainly on the left

Case Discussion

MRI features typical of secondary intracranial hypertension due to cerebral venous thrombosis

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Case information

rID: 78239
Published: 31st May 2020
Last edited: 1st Jun 2020
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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