Presentation
Two weeks of worsening pressure headache. New vertigo and visual disturbance.
Patient Data
Age: 55 years
Gender: Female
From the case:
Venous sinus thrombosis
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Hyperdense venous sinuses involving superior sagittal and right transverse sinuses.
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Thrombosis confirmed on venogram; extending from superior sagittal sinus overlying motor region extending into right sigmoid sinus and included right jugular vein. The left transverse sinus and deep venous structures are patent.
Case Discussion
Extensive cerebral venous sinus thrombosis.
The patient was commenced on LMWH then warfarinised and was found to have a hypercoaguable phenotype.