Cerebral Venous Thrombosis Mimicking a Discrete Brain Mass: A Case Report and Literature Review

DiRenzo, Dana; Desai, Naman S.; Manno, Rebecca L.; Petri, Michelle

doi:10.1155/2018/5862912

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…Only a few published reports have presented CVT cases where MRI revealed abnormal tumor-like brain lesions MRI. 6 7 10 11 12 13 14 However, we present a unique case of misdiagnosed VLT with imaging findings similar to those of a malignant glioma.…”

Section: Discussionmentioning

confidence: 81%

An Illustrative Case of Vein of Labbe Thrombosis Presented as a Glioma

et al. 2023

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Cerebral vein thrombosis is a unique and rare type of cerebrovascular disease. The main challenge in identifying cerebral vein thrombosis is the presence of vague signs and symptoms that can resemble a variety of other intracranial pathologies. Our goal is to present the unique case of a young patient whose MRI scan revealed an abnormally enhancing tumor-like brain lesion that was heterogeneous in intensity and whose intraoperative view and histopathological findings were consistent with the vein of Labbe thrombosis, with ipsilateral transverse and sigmoid sinus involvement.

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Section: Discussionmentioning

confidence: 81%

An Illustrative Case of Vein of Labbe Thrombosis Presented as a Glioma

et al. 2023

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“…25 However, diffusion-weighted imaging (DWI) and perfusion-weighted MRI can help improve the accuracy of CVT diagnosis with high signal intensity as restricted diffusion. 26 One can use a contrast agent or not when doing the MR venography modality. 27 Time-resolved contrast-enhanced MR venography has very superior accuracy which relies on luminal filling by contrast material rather than MR flow phenomena when utilizing the time-of-fight method.…”

Section: Discussionmentioning

confidence: 99%

Progressive Cerebral Venous Thrombosis with Cranial Nerve Palsies in an Adolescent African Girl & Associated Diagnostic Pitfalls: A Rare Case Report

Asfaw

Huang

Taimur

et al. 2023

IMCRJ

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Cerebral venous thrombosis (CVT) is a cerebrovascular disorder caused by complete or partial occlusion of the cerebral venous and sinus system. The etiology has been attributed to hypercoagulability and pro-thrombotic states, leading to raised intracranial pressures that often manifest as headaches and focal neurological deficits. However, the multifactorial nature of CVT can create a diagnostic conundrum for clinicians. We describe a unique case of a 16-year-old female who presented with convulsions, postictal confusion, and drowsiness followed by residual weakness of her extremities. She initially presented to the primary care center with headache, high-grade fever, and altered mental status and was empirically treated for pyogenic meningitis. The patient failed to improve with a week of antibiotics and was referred to the tertiary care center for urgent attention. On presentation, the patient developed VI and VII cranial nerve palsy. Subsequently, MRI images showed filling defects in the superior sagittal, right transverse, and sigmoid sinuses with right parietal gyral T1 hyperintensity and T2 hypo-intensity. She was diagnosed with septic CVT based on sinus venous thrombosis and venous infarction, probably secondary to meningococcal pneumonia. It can be challenging to distinguish between both conditions as their presentations overlap. Moreover, cranial nerve palsy is an infrequent manifestation of CVT, with unclear pathogenesis. We highlight the role of neuro-imaging in the early detection of CVT and bring to light the unfamiliar symptoms and a more varied clinical spectrum that may hinder the diagnosis in a limited-resource setting. Future research should be explicitly modeled to improve the diagnostic efficiency of CVT and improve outcomes in younger patient populations.

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Cerebral Venous Thrombosis Mimicking a Discrete Brain Mass: A Case Report and Literature Review

Cited by 2 publications

References 24 publications

An Illustrative Case of Vein of Labbe Thrombosis Presented as a Glioma

An Illustrative Case of Vein of Labbe Thrombosis Presented as a Glioma

Progressive Cerebral Venous Thrombosis with Cranial Nerve Palsies in an Adolescent African Girl & Associated Diagnostic Pitfalls: A Rare Case Report

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