Presentation
Post sector mastectomy and chemoradiotherapy for right breast carcinoma and on hormonal treatment. The patient presents with a severe headache since a week.
Patient Data
Age: 50 years
Gender: Female
From the case:
Superior sagittal sinus thrombosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/23734/annotated_viewer_json?iframe=true\u0026lang=us"}
- 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 frontoparietal 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
From the case:
Superior sagittal sinus thrombosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/23736/annotated_viewer_json?iframe=true\u0026lang=us"}
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 frontoparietal thrombosed cortical veins.