Cerebral venous thrombosis with hemorrhagic venous infarction

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Severe headaches with no neurological deficit.

Patient Data

Age: 30 years
Gender: Female

The MRI sequences demonstrate:

  • area of venous hemorrhagic infarct in the right temporo-occipital region of high signal on T1 and T2 with blooming on the GE sequence, and surrounding edema.
  • thrombosis of the right lateral and sigmoid sinuses, the ipsilateral internal jugular vein as well as a small adjacent cortical vein, which appear high signal on T1, T2, and FLAIR with loss of their signal void on MRV 2D-TOF.

Case Discussion

MRI features of a cerebral venous thrombosis with cerebral venous infarction.

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