IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Cerebral venous thrombosis in patient with focal cortical dysplasia

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Recent episodes of headaches

Patient Data

Age: 50 years
Gender: Female

Complete thrombosis of the left transverse and sigmoid sinuses as well as the ipsilateral jugular bulb. The intraluminal clots appear of high signal on T1WI, T2WI, and FLAIR, indicating the subacute phase. No associated parenchymal venous infarction was seen.

A focal lesion around the left superior frontal sulcus seen as cortical thickening, isointense to the cortical grey matter on T1WI and T2WI and slightly hyperintense on FLAIR with no enhancement on post-contrast sequences, highly suggestive of focal cortical dysplasia (most likely Blumcke type II).

Case Discussion

In this case, the association between cerebral venous thrombosis and focal cortical dysplasia is most likely fortuitous.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.