Bilateral thalamic infarction--a rare manifestation of dural venous sinus thrombosis.
Bilateral infarctions of the thalamus account for only a small fraction of ischemic strokes and carry a poor prognosis. These infarcts rarely have a venous etiology. A case secondary to straight sinus thrombosis is presented. Difficulties in considering the diagnosis and its radiological appearances are discussed. A simple imaging pathway including computed tomographic angiography and magnetic resonance imaging including a susceptibility-weighted sequence is presented in order to facilitate determination of the exact etiology in order to optimize therapy accordingly.
Gossner
Johannes
J
Institute for Roentgendiagnostics, Braunschweig Teaching Hospitals, Braunschweig, Germany.
Larsen
Jörg
J
Knauth
Michael
M
D002544:Cerebral Infarction / Q000175:diagnosis* / Q000209:etiology*; D002550:Cerebral Veins / Q000000981:diagnostic imaging / Q000473:pathology; D004388:Dura Mater / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008875:Middle Aged; D035583:Rare Diseases / Q000175:diagnosis / Q000209:etiology; D012851:Sinus Thrombosis, Intracranial / Q000150:complications* / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed / Q000379:methods*