Which of the following is true regarding deep venous thrombosis? A. Patients present with focal deficits B. Reduced diffusion is a common imaging feature C. Commonly bilateral D. Generally benign
C, most commonly bilateral. Briefly, patients do not typically present with focal deficits and imaging does not show reduced diffusion, which would be expected in arterial infarction. This condition is not benign with mortality reported as high as 25%.
Which age group is most at risk? Any other specific demographics?
Young individuals and women of childbearing age.
MRI demonstrates edema involving the bilateral thalami and basal ganglia. Corresponding MRV demonstrates absence of normal flow related signal within the deep cerebral veins. SWI demonstrates hemorrhages of the bilateral thalami. Findings were compatible with deep cerebral venous thrombosis.