Venous sinus thrombosis and hemorrhagic infarct

Case contributed by Dr Ian Bickle

Presentation

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.

Patient Data

Age: 40 years
Gender: Female

Moderate sized acute infarct in the right temporoparietal region with hemorrhagic transformation.

Dense right sigmoid and transverse sinus consistent with thrombus.

Case Discussion

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

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Case information

rID: 82805
Published: 6th Oct 2020
Last edited: 6th Oct 2020
Inclusion in quiz mode: Included