Venous sinus thrombosis

Case contributed by Dr Derek Smith

Presentation

Post-partum. Headaches. Blurred vision and diplopia. Papilloedema on examination.

Patient Data

Age: 30
Gender: Female
CT

Extensive venous sinus thrombosis within the distal superior sagittal sinus, straight sinus, confluence of sinuses, left sigmoid sinus and left proximal internal jugular vein.

Right transverse and sigmoid sinus spared.

Remainder of non-contrast imaging shows no abnormalities - in particular no mass lesion, infarct, haemorrhage, extra-axial collection or ventricular changes.

Annotated image

Annotated CT venogram. Thrombus highlighted in red.

Comparison made to right sided venous system without filling defect in blue.

Case Discussion

This lady was admitted to neurology with headaches and visual changes.

She was six weeks post-partum when these developed.

The investigations showed extensive thombosis through the cerebral venous system and she was managed with warfarin (after discussion about risks during breastfeeding).

PlayAdd to Share

Case information

rID: 35553
Case created: 10th Apr 2015
Last edited: 3rd Nov 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.