Cerebral venous thrombosis in patient with focal cortical dysplasia

Case contributed by Dr Ammar Haouimi

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.

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Case information

rID: 61481
Published: 9th Aug 2018
Last edited: 10th Aug 2018
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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