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Diagnostic Strategies in Cerebral Sinus Vein Thrombosis

  • Marie-Germaine Bousser
  • Colette Goujon
  • Valeria Ribeiro
  • Jacques Chiras

Abstract

For about 130 years after the initial description by Ribes in 1825 [1], cerebral venous thrombosis (CVT) was mostly diagnosed at autopsy. This has led to the classical description [2–7] of a rare and severe disease characterized clinically by headache, papilledema, seizures, bilateral or alternating neurological deficits, progressive coma and death, and anatomically by an hemorrhagic and often bilateral cerebral infarction prohibiting the use of anticoagulants. In the last 35 years, angiography has made possible the diagnosis in patients [8–10]. Evidence has accumulated that the clinical spectrum of CVT is much wider than previously thought, as a major cause of the diagnostic problems [11–17].

Keywords

Intracranial Hypertension Sinus Thrombosis Superior Sagittal Sinus Cerebral Venous Thrombosis Dural Sinus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    L M. F. Ribes, Des recherches faites sur la phlébite. Revue médicale et étrangère et Journal de clinique de 1’H-6-Lei-Dieu et de la Charité de Paris, 3: 5–41 (1825).Google Scholar
  2. 2.
    H. Ehlers and C. B. Courville, Thrombosis of internal cerebral veins in infancy and childhood. Review of literature and report of five cases, J. Pediat., 8: 600–623 (1936).CrossRefGoogle Scholar
  3. 3.
    C. P. Symonds, Cerebral thrombophlebitis, Br. Med. 1, 2: 348–352 (1940).Google Scholar
  4. 4.
    R. Garcin and M. Pestel, “Cerebral Blood Flow”rombophlébites Cérébrales”, Masson et Cie, Paris (1949).Google Scholar
  5. 5.
    H. J. M. Barnett and H. H. Hyland, Non-infective intracranial venous thrombosis, Brain, 76: 36–49 (1953).PubMedCrossRefGoogle Scholar
  6. 6.
    H. Noetzel and F. Jerusalem, Die Hirnvenen-und Sinusthrombosen. Monographien aus dem Gesamtgebiet der Neurologie und Psychiatrie, 106: 1–63 (1965).CrossRefGoogle Scholar
  7. 7.
    R. M. Kalbag and A. L. Woolf, “Cerebral Venous Thrombosis”, University Press, London and Oxford (1967).Google Scholar
  8. 8.
    H. Krayenbühl, Cerebral venous thrombosis. The diagnostic value of cerebral angiography, Schweiz Arch. Neurot. Neurochir. Psychiat., 74: 261–287 (1954).Google Scholar
  9. 9.
    B. Montrieul and P. Janny, Contribution à l’étude angiographique des thromboses veineuses cérébrales, Neurochirurgie, 8: 175–188 (1962).Google Scholar
  10. 10.
    M. G. Yasargil and M. Damur, Thrombosis of the cerebral veins and durai sinuses, in: “Radiology of the Skull and Brain. Angiography”, T. H. Newton and D. G. Potts, eds., The CV Mosby Company, Saint-Louis (1974).Google Scholar
  11. 11.
    P. Averback, Primary cerebral venous thrombosis in young adults. The diverse manifestations of an under-recognized disease, Ann. Neurol., 3: 8186 (1978).Google Scholar
  12. 12.
    B. C. Bansal, R. R. Gupta and C. Prakash, Stroke during pregnancy and puerperium in young females below the age of 40 years as a result of cerebral venous/venous sinus thrombosis, Jpn. Heart J., 21: 171–183 (1980).PubMedCrossRefGoogle Scholar
  13. 13.
    G. Coquillai and J. M. Warter, Thromboses veineuses cérébrales. Rapport de neurologie présenté au Congrès de psychiatrie et de neurologie de langue Francaise, 1 vol., Masson, Paris (1976).Google Scholar
  14. 14.
    D. M. Gettelfinger and E. Kokmen, Superior sagittal sinus thrombosis, Arch. Neurol., 34: 2–6 (1977).PubMedCrossRefGoogle Scholar
  15. 15.
    P.Rousseaux, M. J. Bernard, B. Scherpereel and J. F. Guyot, Thrombose des sinus veineux intra-crâniens (à propos de 22 cas), Neurochirurgie, 24: 197–203 (1978).Google Scholar
  16. 16.
    M. G. Bousser, J. Chiras, B. Sauron, J. Bories and P. Castaigne, Cerebral venous thrombosis. A review of 38 cases, Stroke, 16: 199–213 (1985).PubMedCrossRefGoogle Scholar
  17. 17.
    A. Thron, K. Wessel, D. Linden, G. Schroth and J. Dichgans, Superior sagittal sinus thrombosis: neuroradiological evaluation and clinical findings, J. Neurol., 233: 283–288 (1986).PubMedCrossRefGoogle Scholar
  18. 18.
    J. Foley, Benign forms of intracranial hypertension: “toxic” and “otitic” hydrocephalus, Brain, 78: 1–41 (1955).PubMedCrossRefGoogle Scholar
  19. 19.
    B. Guidetti, B. Giuffre and D. Gambacorta, Follow-up study of 100 cases of pseudo-tumor cerebri, Acta Neurochir., 18: 259–267 (1968).CrossRefGoogle Scholar
  20. 20.
    H. G. Boddie, M. Banna and W. G. Bradley, “Benign” intracranial hypertension. A survey of the clinical and radiological features and long term prognosis, Brain, 97: 313–326 (1974).PubMedCrossRefGoogle Scholar
  21. 21.
    C. Bulens, J. de Vries and H. Vancrevel, “Benign” intracranial hypertension, a retrospective and follow up study, J. Neurol. Sci., 40: 145–157 (1979).Google Scholar
  22. 22.
    C. Symonds, Otitic hydrocephalus, Neurology, 6: 681–685 (1956).PubMedCrossRefGoogle Scholar
  23. 23.
    D. D’Avella, R. P. Greenberg, S. Mingrino, M. Scanarini and K. Pardatscher, Alterations in ventricular size and intracranial pressure caused by sagittal sinus pathology in man, J. Neurosurg., 53: 656–661 (1980).PubMedCrossRefGoogle Scholar
  24. 24.
    M. Greer, Management of benign intracranial hypertension (pseudo-tumor cerebri), Clin. Neurosurg., 15: 161–174 (1967).Google Scholar
  25. 25.
    J. J. Corbett, Problems in the diagnosis and treatment of pseudo-tumor cerebri, Can. J. NeuroL Sci., 10: 221–229 (1983).PubMedGoogle Scholar
  26. 26.
    F. Dindar and M. E. Platts, Intracranial venous thrombosis complicating oral contraception, Can. Med. Assoc. J., 11I: 545–548 (1974).Google Scholar
  27. 27.
    A. A. Poltera, The pathology of intracranial venous thrombosis in oral contraception, J. Pathol, 106: 209–219 (1972).PubMedCrossRefGoogle Scholar
  28. 28.
    B. Estanol, A. Rodriguez, G. Conte, J. M. Aleman, M. Loyo and J. Pizzuto, Intracranial venous thrombosis in young women, Stroke, 10: 680–684 (1979).PubMedCrossRefGoogle Scholar
  29. 29.
    I. Iob, M. Scanarini, G. C. Andrioli and K. Pardatscher, Thrombosis of the superior sagittal sinus associated with idiopathic thrombocytosis, Surg. Neurol., 11: 439–441 (1979).PubMedGoogle Scholar
  30. 30.
    A. R Wintzen, A. W. Broekmans, R M. Bertina, E. Briet, P. E. Briet, A. Zecha, G. J. Vielvoye, G. Th. A. M. Bots, Cerebral hemorrhagic infarction in young patients with hereditary protein C deficiency: evidence for “spontaneous” cerebral venous thrombosis, Br. Med. J., 290: 350–352 (1985).CrossRefGoogle Scholar
  31. 31.
    S. R. Levine, S. Kieran, K. Puzio, H. Feit, S. C. Patel and K. M. A. Welch, Cerebral venous thrombosis with lupus anti-coagulants. Report of two cases, Stroke, 18: 801–804 (1987).PubMedCrossRefGoogle Scholar
  32. 32.
    S. Burkhardt and F. Regli, EEG-Veränderungen bei 27 Fällen von zerebraler Thrombophlebitis, Schweiz Arch. Neurol. Psychiat., 94: 1–14 (1964).PubMedGoogle Scholar
  33. 33.
    R. T. Go, C. L. Chiu and L. A. Neuman, Diagnosis of superior sagittal sinus thrombosis by dynamic and sequential brain scanning. Report of one case, Neurology, 23: 1199–1204 (1973).PubMedCrossRefGoogle Scholar
  34. 34.
    B. D. Barnes and D. P. Winestock, Dynamic radionuclide scanning in the diagnosis of thrombosis of the superior sagittal sinus thrombosis, Neurology, 27: 656–661 (1977).PubMedCrossRefGoogle Scholar
  35. 35.
    S. L. Bridgers, E. Strauss, E. O. Smith, D. Reed and M. D. Ezekowitz, Demonstration of superior sagittal sinus thrombosis by Indium-111 platelet scintigraphy, Arch. Neurol, 43: 1079–1081 (1986).PubMedCrossRefGoogle Scholar
  36. 36.
    F. Buonanno, D. M. Moody, M. R. Ball and D. W. Laster, Computed cranial tomographic findings in cerebral sino-venous occlusion, J. Comput. Assist. Tomog., 2: 281–290 (1978).CrossRefGoogle Scholar
  37. 37.
    K. Ford and M. Sarwar, Computed tomography of durai sinus thrombosis, Am. J. NeuroradioL, 2: 539–543 (1981).PubMedGoogle Scholar
  38. 38.
    K. C. V. G. Rao, H. C. Knipp and E. J. Wagner, CT findings in cerebral sinus and venous thrombosis, Radiology, 140: 391–398 (1981).PubMedGoogle Scholar
  39. 39.
    F. S. Buonanno, D. M. Moody and R. M. Ball, CT scan findings in cerebral sinovenous occlusion, Neurology, 12: 288–292 (1962).CrossRefGoogle Scholar
  40. 40.
    C. Virapongse, C. Cazenave, R. Quisling, M. Sarwar and S. Hunter, The empty delta sign: frequency and significance in 76 cases of durai sinus thrombosis, Radiology, 162: 779–785 (1987).PubMedGoogle Scholar
  41. 41.
    Y. Shinohara, M. Yosmitoshi and F. Yoshii, Appearance and disappearance of empty delta sign in superior sagittal sinus thrombosis, Stroke, 17: 12821284 (1986).Google Scholar
  42. 42.
    A. L. Goldberg, A. E. Rosenbaum, H. Wang, S. W. Kim, V. L. Lewis and D. F. Hanley, Computed tomography of durai sinus thrombosis, J. Comput. Assist. Tomog., 10: 16–20 (1986).CrossRefGoogle Scholar
  43. 43.
    N. J. Patronas, E. E. Duda, M. Mirfakhraee and R L. Wollmann, Superior sagittal sinus thrombosis diagnosed by computed tomography, Surg. Neurol., 15: 11–14 (1981).PubMedCrossRefGoogle Scholar
  44. 44.
    J. Brismar, Computed tomography in superior sagittal sinus thrombosis, Acta Radiol. (Stockh.), 21: 321–326 (1980).Google Scholar
  45. 45.
    F. S. Vines, D. O. Davis, Clinical radiological correlation in cerebral venous occlusive disease, Radiology, 98: 9–22 (1971).PubMedGoogle Scholar
  46. 46.
    J. Chiras, M. G. Bousser, J. F. Meder, A. Koussa and J. Bolles, CT in cerebral thrombophlebitis, Neuroradiology, 27: 145–154 (1985).PubMedCrossRefGoogle Scholar
  47. 47.
    C. P. Symonds, Hydrocephalic and focal cerebral symptoms in relation to thrombophlebitis of the durai sinuses and cerebral veins, Brain, 60: 531550 (1937).Google Scholar
  48. 48.
    H. M. Askenasy, I. Z. Kosary and J. Braham, Thrombosis of the longitudinal sinus. Diagnosis by carotid angiography, Neurology, 12: 288–292 (1962).PubMedCrossRefGoogle Scholar
  49. 49.
    H. Hacker, Normal supratentorial veins and durai sinuses, in: “Radiology of the Skull and Brain. Angiography”, T. H. Newton and D. G. Potts, eds., CV Mosby Company, St. Louis (1974).Google Scholar
  50. 50.
    P. J. Macchi, R. I. Grossman, J. M. Gomori, H. I. Goldberg, R. A. Zimmerman and L. T. Bilaniuk, High field MR imaging of cerebral venous thrombosis, J. Comput. Assist. Tomog., 10: 10–15 (1986).CrossRefGoogle Scholar
  51. 51.
    W. C. Hanigan, L. J. Rossi, J. M. McLean and R. M. Wright, MRI of cerebral vein thrombosis in infancy. A case report, Neurology, 36: 1354–1356 (1986).PubMedCrossRefGoogle Scholar
  52. 52.
    P. J. Savino, R. I. Grossman, N. J. Schatz, R. C. Sergott and T.M. Bosley, High field magnetic resonance imaging in the diagnosis of cavernous sinus thrombosis, Arch. Neurol., 43: 1081–1082 (1986).PubMedCrossRefGoogle Scholar
  53. 53.
    S. K. McMurdo, M. Brant-Zawadzki, W. G. Bradley, G. Y. Chang and B. O. Berg, Dural sinus thrombosis. Study using intermediate field strength MR imaging, Radiology, 161: 83–86 (1986).PubMedGoogle Scholar
  54. 54.
    T. O. Gabrielsen, J. F. Seeger, J. E. Knake and E. W. Stilwill, Radiology of cerebral vein occlusion without durai sinus occlusion, Radiology, 140: 403408 (1981).Google Scholar
  55. 55.
    S. Johnsen, R. Greenwood and M. A. Rischman, Internal cerebral vein thrombosis, Arch. Neurol., 28: 205–207 (1973).PubMedCrossRefGoogle Scholar
  56. 56.
    R. N. Nishimura, D. Stepanek, J. Howieson and J. Hammerstad, Internal cerebral vein thrombosis. A case report, Arch. Neurol., 39: 439–440 (1982).PubMedCrossRefGoogle Scholar
  57. 57.
    G. A. M. Bots, Thrombosis of the galenic system veins in the adult, Acta Neuropathol., 17: 227–233 (1971).PubMedCrossRefGoogle Scholar
  58. 58.
    J. J. Eick, K. D. Miller, K. A. Bell and R. H. Tutton, Computed tomography of deep cerebral venous thrombosis in children, Radiology, 140: 399–402 (1981).PubMedGoogle Scholar
  59. 59.
    M. G. Bousser, O. Bletry, M. Launay, E. Portier, A. Guillard and P. Castaigne, Thrombose veineuse cérébrale au cours de la maladie de Behçet, Rev. Neurol., 11: 753–762 (1980).Google Scholar
  60. 60.
    D. Rougemont, M. G. Bousser, B. Wechsler, O. Bletry, P.Castaigne and P. Godeau, Manifestations neurologiques au cours de la maladie de Behçet. 24 observations, Rev. Neurol. (Paris), 138: 493–505 (1982).Google Scholar
  61. 61.
    M. N. Pamir, T. Kansu, A. Erbengi and T. Zileli, Papilledema in Behçet’s syndrome, Arch. Neurol., 38: 643–645 (1981).PubMedCrossRefGoogle Scholar
  62. 62.
    P. C. Gates, Cerebral venous thrombosis. A retrospective review, Aust. NZ J. Med., 16: 766–770 (1986).Google Scholar
  63. 63.
    D. S. Buchanan and J. H. Brazinsky, Dural sinus and cerebral venous thrombosis. Incidence in young women receiving oral contraceptives, Arch. Neurol., 22: 440–444 (1970).PubMedCrossRefGoogle Scholar
  64. 64.
    B. Fairburn, Intracranial venous thrombosis complicating oral contraception: treatment by anticoagulant drugs, Br. Med. J., 2: 647 (1973).PubMedCentralPubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1990

Authors and Affiliations

  • Marie-Germaine Bousser
    • 1
  • Colette Goujon
    • 2
  • Valeria Ribeiro
    • 1
  • Jacques Chiras
    • 3
  1. 1.Service de NeurologieHôpital Saint AntoineParisFrance
  2. 2.Service de NeurochirurgieHôpital Henri MondorCreteilFrance
  3. 3.Service de NeuroradiologieHôpital de la SalpetriereParisFrance

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