Cerebral venous infarction

Case contributed by G Balachandran , 17 Sep 2010
Diagnosis almost certain
Changed by Tee Yu Jin, 25 Feb 2020

Updates to Study Attributes

Findings was changed:

40 years old male referred was for evaluation of acute confusional state..His MR images showed evidence of classic features of subacute haemorrhagic infarct inFocal T1 and T2 hyperintense at the left temporal lobe.The with restricted diffusion demonstrated on DWI and corresponds to an area of subacute hemorrhagic infarct. Subtle thin T2 hypointense rim are in keeping with hemosiderin deposition.MR venography confirmedfurther demonstrates absence flow of the subacute haemorrhagic infarct due to cortical vein thrombosis involving distal SSS,LEFT TS,SIGMOID SINUSsuperior sagittal, left transverse and left sigmoid sinuses.

Images Changes:

Image MRI (T1) ( update )

Description was removed:
CaptionT1W AXIAL Description Haemorrhagic infarct left temporal lobe

Image MRI (T2) ( update )

Description was removed:
T2W AXIAL This image shows a hyperintense focus with a hypointense periphery.

Image MRI (DWI) ( update )

Description was removed:
DWI with b=1000 This image confirms the infarct.

Image MRI (MRV) ( update )

Description was removed:
Parasagittal image shows filling defect in the posterior superior sagittal sinus,left transverse sinus,sigmoid sinus

Updates to Case Attributes

Age changed from 40 to 40 years.
Body was added:

Features are in keeping with extensive cerebral sinus thrombosis involving the distal superior sagittal, left transverse and left sigmoid sinuses, resulting in venous hemorrhagic infarct of the left temporal lobe.

  • +<p>Features are in keeping with extensive cerebral sinus thrombosis involving the distal superior sagittal, left transverse and left sigmoid sinuses, resulting in <a title="venous hemorrhagic infarct" href="/articles/cerebral-venous-infarction">venous hemorrhagic infarct</a> of the left temporal lobe.</p>
Presentation was changed:
40 years old male was referredReferred for evaluation of acute confusional state.

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