Recovery from primary deep cerebral venous sinus thrombosis with recanalisation.
A 50-year-old woman with idiopathic deep cerebral sinus and vein thrombosis (DCVT) had cerebellar disturbance prior to impaired consciousness. CT and MRI revealed haemorrhagic infarction in the cerebellum and signal changes suggesting infarction in the thalamus and basal ganglia bilaterally. The straight sinus and internal cerebral vein (ICV) were dense on CT. On angiography, the vein of Galen (VG) and straight sinus were not seen. Following clinical recovery, CT and MRI became normal, and angiography showed recanalization of the VG and ICV. The relationship between cerebellar infarction and DCVT, and signal changes on CT and MRI are discussed.
Nagatomo
Y
Y
Department of Neurosurgery, Tsukuba Medical Center Hospital, Japan.
Yanaka
K
K
Kamezaki
T
T
Kobayashi
E
E
Matsumura
A
A
Nose
T
T
D001479:Basal Ganglia / Q000098:blood supply; D002531:Cerebellum / Q000098:blood supply; D002533:Cerebral Angiography / Q000187:drug effects; D002543:Cerebral Hemorrhage / Q000175:diagnosis; D002544:Cerebral Infarction / Q000175:diagnosis* / Q000188:drug therapy; D002550:Cerebral Veins / Q000473:pathology; D003392:Cranial Sinuses / Q000473:pathology; D005500:Follow-Up Studies; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009460:Neurologic Examination / Q000187:drug effects; D012851:Sinus Thrombosis, Intracranial / Q000175:diagnosis* / Q000188:drug therapy; D013788:Thalamus / Q000098:blood supply; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage
D006493:Heparin; D014568:Urokinase-Type Plasminogen Activator