Transverse sinus thrombosis with hemorrhagic infarction

Case contributed by Sahar Abdoun. I. Idris
Diagnosis certain

Presentation

Patient presented with vomiting and headache.

Patient Data

Age: 25 years
Gender: Male

There is right temporal lobe cortical/subcortical hypodense area with hemorrhagic components causing mass effect in the form of mild midline shift to the left, effacement of ipsilateral lateral ventricles and mild degree of uncal herniation. Dense right transverse sinus and dilated dense cortical vein also noted. Findings are consistent with right transverse sinus thrombosis complicated by hemorrhagic infarction, severity stage 4.

Dense right transverse sinus (blue arrow) named (cord sign), dilated dense cortical vein (red arrow) also noted (dense vein sign).

Case Discussion

MRV was done for this patient (not available) that confirmed dural sinus thrombosis. Unfortunately, it was done at another hospital.

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