Superior sagittal sinus thrombosis

Case contributed by Dr Mohammad A. ElBeialy

Presentation

48 years old female post sector masrectomy and chemoradiotherapy for right breast carcinoma and on hormonal traetment. The patient presents with severe headache since a week.

Patient Data

Age: 48 years
Gender: Female
  • the superior sagittal sinus (SSS) appears slightly distended with lost signal void, demonstrating isointense to mildly hyperintense T1 and hyperintense T2/FLAIR signal intensity. Complementary MRV confirmed SSS thrombosis.
  • thrombosed cortical veins are seen at the high fronto-parietal cortical sulci with linear bands of high T2 and DWI signal.
  • widened bilateral posterior parietal extra-axial CSF spaces.
  • no definite evidence of parenchymal metastatic deposits.
  • SWI/GRE fairly excludes subarachnoid or parenchymal hemorrhages.
Complementary MRV confirmed SSS venous thrombosis. Attenuated rest of the dural venous sinuses.    

Case Discussion

Acute to subacute thrombosis of superior sagittal sinus with bilateral high fronto-parietal thrombosed cortical veins.

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Case information

rID: 23615
Case created: 27th Jun 2013
Last edited: 26th Feb 2016
Inclusion in quiz mode: Included

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