[Occlusion of sinus sagittalis superior by infiltration of a tumor metastasis (author's transl)].
As a casuistic contribution to differential diagnosis of thrombosis of cerebral veins and sinuses a case of occlusion of sinus sagittalis superior by infiltration of an intracerebral metastasis from a teratoma of testis is reported. The leading symptoms - epileptic seizures, progressive hemiplegia, choked papilla and clouding of consciousness - gave rise to the tentative diagnosis of a cerebral tumor; in carotis angiography however, the metastasis was not detected, merely the occlusion of the sinus was demonstrated. Therefore the progress of the syndrome was misinterpreted as caused by an advancement of a venous thrombosis. Only autopsy showed the symptomless primary tumor and its formation of metastases.
D000328:Adult; D001932:Brain Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D004827:Epilepsy / Q000209:etiology; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D008297:Male; D009362:Neoplasm Metastasis; D010211:Papilledema / Q000209:etiology; D012851:Sinus Thrombosis, Intracranial / Q000175:diagnosis*; D013724:Teratoma / Q000150:complications / Q000000981:diagnostic imaging; D013736:Testicular Neoplasms / Q000150:complications
Verschluss des Sinus sagittalis superior durch Infiltration einer Tumormetastase