Case of Cerebral Venous Thrombosis with Unusual Venous Infarcts

• Main Authors: RAMAKRISHNA NARRA, SUSHEEL KUMAR KAMARAJU, BHIMESWARAO PASUPALETI, NAGANARASIMHARAJU JULURI
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2015-04-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: hemorrhagic infarcts; mr venogram; obstructive hydrocephalus
• Online Access: https://jcdr.net/articles/PDF/5848/12264_CE[Ra1]_F(AK)_PF1(AGAK)_PFA(AK)_PF2(PAG)_u.pdf

Cerebral venous thrombosis is a relatively rare condition when compared with vascular accidents of arterial origin representing 0.5-1% of all strokes. Unlike arterial infarcts parenchymal changes are seldom present and when present most of the times are reversible. We present a case report of 28-year-old female with thrombosis of internal cerebral veins and straight sinus and hemorrhagic infarcts in bilateral basal ganglia and bilateral thalami .The findings of bilateral symmetrical hyper intensities in basal ganglia and thalami on MRI may be due to various causes of diverse etiology and cerebral venous thrombosis remains an important cause. Early recognition and prompt anticoagulation therapy helps to reduce the mortality to a great extent. The MRI imaging features of straight sinus thrombosis and other imaging differentials are discussed.