Venous sinus thrombosis and hemorrhagic infarct
Lymphoma on treatment. Occipital headache with neck stiffness, for a few days, gradually getting worse. ITP, platelet count 4 when it started. Rule out bleed.
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Moderate sized acute infarct in the right temporoparietal region with hemorrhagic transformation.
Dense right sigmoid and transverse sinus consistent with thrombus.
This patient had a predisposition to a dural venous thrombosis.
This non contrast CT head has the full house
- a dense sinus consistent with thrombus
- an acute infarct in a non-arterial territory
- hemorrhagic transformation of the infarct