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Neuroradiology

, Volume 37, Issue 8, pp 645–648 | Cite as

Recovery from primary deep cerebral venous sinus thrombosis with recanalisation

  • Y. Nagatomo
  • K. Yanaka
  • T. Kamezaki
  • E. Kobayashi
  • A. Matsumura
  • T. Nose
Diagnostic Neuroradiology

Abstract

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.

Key words

Sinus thrombosis Reperfusion Cerebral infarction Computed tomography Magnetic resonance imaging 

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References

  1. 1.
    Nishimura RN, Stepanek D, Howieson J, Hammerstad J (1990) Internal cerebral vein thrombosis. Arch Neurol 39: 439–440Google Scholar
  2. 2.
    Ehlers H, Courville CB (1936) Thrombosis of internal veins in infancy and childhood: review of literature and reports of five cases. J Pediatr 8: 600–623Google Scholar
  3. 3.
    Eick JJ, Miller KD, Bell KA, Tutton RH (1981) Computed tomography of deep cerebral venous thrombosis in children. Radiology 140: 399–402Google Scholar
  4. 4.
    Kim KS, Walczak TS (1986) Computed tomography of deep cerebral venous thrombosis. J Comput Assist Tomogr 10: 386–390Google Scholar
  5. 5.
    Bots GTAM (1971) Thrombosis of the galenic system veins in the adult. Acta Neuropathol (Berl) 17: 227–233Google Scholar
  6. 6.
    Haley EC, Brashear HR, Barth JT, Cail WS, Kassea NF (1989) Deep cerebral venous thrombosis: clinical, neuroradiological and neuropathological correlates. Arch Neurol 46: 337–340Google Scholar
  7. 7.
    Chivers E, Rudge P (1986) Cerebral thrombosis and arachnoid haemorrhage in users of oral contraceptives. BMJ 292: 524Google Scholar
  8. 8.
    Komiyama J, Hirayama K (1987) Management of cerebral venous thrombosis (in Japanese). Shinkei Naika Chiryo (Tokyo) 4: 177–183Google Scholar
  9. 9.
    Bousser MG, Chiras J, Bories J, Castaigne P (1985) Cerebral venous thrombosis—a review of 38 cases. Stroke 16: 199–213Google Scholar
  10. 10.
    Milandre L, Pellissier JF, Vincentelli F, Khalil R (1990) Deep cerebral venous system thrombosis in adults. Eur Neurol 30: 93–97Google Scholar
  11. 11.
    Hanigan WC, Rossi LJ, McLean JM, Wright RM (1986) MRI of cerebral vein thrombosis in infancy: a case report. Neurology 36:1354–1356Google Scholar
  12. 12.
    Grossman R, Novak G, Patel M, Maytal J, Ferreira J, Eviatar L (1993) MRI in neonatal dural sinus thrombosis. Pediatr Neurol 9: 235–238Google Scholar
  13. 13.
    Wendring JR (1978) Intracranial venous sinus thrombosis: diagnosis suggested by computed tomography. A J R 130:978–980Google Scholar
  14. 14.
    Mayberg MR, Zimmerman C (1988) Vein of Galen aneurysm associated with dural AVM and straight sinus thrombosis. J Neurosurg 68: 288–291Google Scholar
  15. 15.
    Lipper MH, Vines FS, Kishore PRS, Becker DP (1979) Supratentorial arteriovenous malformation presenting with cerebellar dysfunction. Surg Neurol 12: 168–170Google Scholar
  16. 16.
    Mancuso P, Chiaramonte I, Pero G, Tropea R, Guarnera F (1989) A case of thrombosed aneurysm of the vein of Galen associated with superior sagittal sinus thrombosis. J Neurol Sci 33: 305–309Google Scholar
  17. 17.
    Eng LJ, Longstreth WT, Shaw CM, Eskridge JM, Bahls FH (1990) Cerebellar venous infarction: case report with clinicopathological correlation. Neurology 40: 837–838Google Scholar
  18. 18.
    Hamaguchi M, Takahashi S, Sonobe M, Koshu K, Kurosawa K (1989) Sturge-Weber syndrome associated with rectal sinus thrombosis. Jpn J Stroke 11: 323–327Google Scholar
  19. 19.
    Brown JIM, Coyne TJ, Hurlbert RJ, Fehlings MG, Ter Brugge KG (1993) Deep cerebral venous thrombosis: case report. Neurosurgery 33: 911–913Google Scholar
  20. 20.
    Johnsen S, Greenwood R, Fishman MA (1973) Internal cerebral vein thrombosis. Arch Neurol 28: 205–207Google Scholar
  21. 21.
    Eick JJ, Miller KD, Bell KA, Tutton RH (1981) Computed tomography of deep cerebral venous thrombosis in children. Radiology 140: 399–402Google Scholar
  22. 22.
    Schick RM, Jolesz F, Barnes PD, Macklis JD (1989) MR diagnosis of dural venous sinus thrombosis complicating L-asparaginase therapy. Comput Med Imaging Graph 13:319–327Google Scholar
  23. 23.
    Kaplan RE, Springate JE, Feld LG, Cohen ME (1985) Pseudotumor cerebri associated with cerebral venous sinus thrombosis, internal jugular vein thrombosis, and systemic lupus erythematosus. J Pediatr 107: 266–268Google Scholar
  24. 24.
    Holmes FA, Obbens EAMT, Griffin E, Lee YY (1987) Cerebral venous sinus thrombosis in a patient receiving adjuvant chemotherapy for stage II breast cancer through an implanted central venous catheter. Am J Clin Oncol 10: 362–366Google Scholar
  25. 25.
    Rao KCVG, Knipp HC, Wagner EJ (1981) Computed tomographic findings in cerebral sinus and venous thrombosis. Radiology 140: 391–398Google Scholar
  26. 26.
    Ohta Y, Kuroda Y, Oda K, Shibasaka H, Kishikawa T (1988) A case of multiple cerebral venous sinus thrombosis occurring in the first trimester of pregnancy (in Japanese). Nihon Naika Gakkaishi 77: 414–418Google Scholar
  27. 27.
    Chen HR, Huang KM, Wu JM, Liu YH (1983) Thrombosis of dural sinuses and cerebral veins: the CT findings. J Formosan Med Assoc 82: 1175–1179Google Scholar
  28. 28.
    Averback P (1978) Primary cerebral venous thrombosis in young adults: the diverse manifestations of an underrecognized disease. Ann Neurol 3: 81–86Google Scholar
  29. 29.
    Yoshii N, Seiki Y, Samejima H, Shibata K, Awazu S (1978) Occlusion of the deep cerebral veins. Neuroradiology 16: 287–288Google Scholar
  30. 30.
    Gabrielson TO, Seeger JF, Knake JE, Stillwill EW (1981) Radiology of cerebral vein occlusion without dural sinus occlusion. Radiology 140: 403–408Google Scholar
  31. 31.
    Wackenheim A, Heldt N, Ben Amor M (1971) Variations in the drainage of the lateral mesenphalic vein. Neuroradiology 7: 221–228Google Scholar
  32. 32.
    Buonanno FS, Moddy DM, Ball MR, Laster DW (1978) Computed cranial tomographic findings in cerebral sinovenous occlusion. J Comput Assist Tomogr 2: 281–290Google Scholar
  33. 33.
    Sayama I, Kobayashi T, Nakajima K (1982) Cerebral sino-venous thrombosis-Its clinical course and the study of repeated CT findings (in Japanese). No Shinkei (Tokyo) 34: 547–554Google Scholar
  34. 34.
    D'Avella D, Russo A, Santoro G, Pandolfo N, Cafarelli F, De Blasi F, Del Vivo RE (1984) Diagnosis of superior sagittal sinus thrombosis by computerized tomography. J Neurosurg 61: 1129–1131Google Scholar
  35. 35.
    Zilkha A, Stenzler SA, Lin JH (1982) Computed tomography of the normal and abnormal superior sagittal sinus. Clin Radiol 33: 415–425Google Scholar
  36. 36.
    Matsumura A, Shinohara A, Komatsu Y, Hashikawa M, Nose T (1988) Vanishing empty delta sign in cerebral venous thrombosis. AJNR 9: 1239–1240Google Scholar
  37. 37.
    Patronas NJ, Duda EE, Mirfakhraee M, Wollmann RL (1981) Superior saggittal sinus thrombosis in children with acute lymphoblastic leukemia. Surg Neurol 15: 11–14Google Scholar

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • Y. Nagatomo
    • 1
    • 2
  • K. Yanaka
    • 2
  • T. Kamezaki
    • 2
  • E. Kobayashi
    • 2
  • A. Matsumura
    • 3
  • T. Nose
    • 3
  1. 1.Department of NeurosurgeryTsukuba Medical Center HospitalTsukubaJapan
  2. 2.Department of NeurosurgeryTsukuba Memorial HospitalTsukubaJapan
  3. 3.Department of NeurosurgeryUniversity of TsukubaTsukubaJapan

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