Venous haemorrhagic infarct due to cortical vein thrombosis

Case contributed by Keshaw Kumar
Diagnosis almost certain

Presentation

Headache

Patient Data

Age: 35 years
Gender: Female
This study is a stack
Axial
non-contrast
This study is a stack
Coronal
non-contrast
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Heterogeneously hyperdense acute haemorrhage in the right high frontoparietal lobes with moderate surrounding oedema.

The tubular hyperdense structure in the sulci of the right frontoparietal region could be a cortical vein thrombosis.

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
Axial
T2
This study is a stack
Coronal
T2
This study is a stack
Sagittal
T2
This study is a stack
Axial
FLAIR
This study is a stack
Axial
Gradient Echo
This study is a stack
Axial
SWI
This study is a stack
Axial
CISS
MRV
MRV
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Acute venous haemorrhagic infarct in the right frontoparietal lobes with moderate surrounding oedema. The oedema is larger compared to the size of the haemorrhage, which represents a secondary haemorrhage.

The cortical vein thrombosis in the right frontoparietal region.

Case Discussion

The CT and MRI findings are suggestive venous haemorrhagic infarct due to cortical vein thrombosis.

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