Computed tomographic findings in cerebral sinus and venous thrombosis.

Rao, K C; Knipp, Harry C.; Wagner, Elliott J.

doi:10.1148/radiology.140.2.7255715

Cited by 154 publications

(62 citation statements)

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“…25 -26 -58 -59 Indirect and non specific CT abnormalities were more frequent: the most common finding was the presence of small ventricles with swelling and sometimes diffuse low density suggestive of edema: this was found in 13/25 of our cases and in 10/31 in Rao's CEREBRAL VENOUS THROMBOSIS/Bousser et al 211 study. 26 In some cases, the cerebral swelling could be confirmed by the later increase in size of ventricles which were initially small. 61 However, the opposite finding, i.e.…”

mentioning

confidence: 97%

Cerebral venous thrombosis--a review of 38 cases.

Bousser¹,

Chiras²,

Bories³

et al. 1985

Stroke

685

420

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199SUMMARY A series of 38 patients with angiographically proven cerebral venous thrombosis (CVT) affecting dural sinuses is reported. This study shows that CVT is not rare, that the clinical diagnosis is extremely difficult because of the variable modes of onset and groupings of symptoms, that most CT findings are non specific and that angiography remains the best diagnostic tool. Only 4 patients died, which suggests a more benign outcome than classically described. None of the 23 heparin treated patients died, which indicates that anticoagulants were not harmful in this series.

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mentioning

confidence: 97%

Cerebral venous thrombosis--a review of 38 cases.

Bousser¹,

Chiras²,

Bories³

et al. 1985

Stroke

685

420

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show abstract

“…The sinus thrombosis is often missed in plain brain CT images. However, careful study of non-contrast-enhanced CT images may often reveal hyperdensity of the sinus, [6] as in this case, although we initially missed it. The diagnosis is quite often revealed on retrospection and careful analysis of the situation.…”

Section: Discussionmentioning

confidence: 75%

Pediatric dural venous sinus thrombosis following closed head injury: an easily overlooked diagnosis with devastating consequences

Das

Sapkota²,

Shrestha³

2018

Ulus Travma Acil Cerrahi Derg

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Dural venous sinus thrombosis (DVST) is an uncommon finding after traumatic brain injury. The diagnosis can often be initially missed, particularly if not associated with an overlying fracture. Pediatric DVST following closed head injury and without an overlying fracture is very rare, with only 20 cases reported in the literature to date. Here we present the case of a 19-month-old boy who presented with a history of trivial fall and an episode of fever. On presentation, the pediatric Glasgow Coma Scale (pGCS) score was E3V4M6, and initial brain computed tomography (CT) was normal. He was initially conservatively managed. However, subsequent CT, taken following an episode of seizure, revealed right tentorial subarachnoid hemorrhage and falx hematoma. Conservative management was continued till he started developing recurrent seizures with a decrease in pGCS scores. Repeat CT revealed sinus thrombosis that involved the posterior aspect of the superior sagittal sinus with a massive brain edema. The coagulation profile was normal, and no fracture overlying the sinus was observed. Although he underwent emergency bifrontal decompressive craniotomy, he did not recover. This study emphasizes on the importance of not missing the diagnosis of sinus thrombosis and the devastating consequences that can occur if it is overlooked.

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“…The noncontrast-enhanced scan may show the presence of small ventricles, cerebral swelling, hemorrhagic and ischemic infarcts, intracerebral hematomas, the dense-triangle sign and the cord sign. The contrast enhanced scan can disclose the so-called empty delta sign, gyral or tentorial enhancement and dilated transcerebral or medullary veins 17 .…”

Section: Discussionmentioning

confidence: 99%

Cerebral sinovenous thrombosis in a nephrotic child

Rodrigues

Zardini

Andrade

et al. 2003

Arq. Neuro-Psiquiatr.

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-Nephrotic syndrome in infancy and childhood is known to be associated with a hypercoagulable state and thromboembolic complications, but cerebral sinovenous thrombosis (CST) is a very rare and serious one, with only a few isolated reports in the literature. A case is presented of a 9-year-old boy with nephrotic syndrome that acutely developed signs and symptoms of intracranial hypertension syndrome. CST was diagnosed on cranial CT and MRI and he gradually recovered after treatment with anticoagulants. The diagnosis of CST should be considered in any patient with nephrotic syndrome who develops neurologic symptoms. The discussion of this case, coupled with a review of the literature, emphasizes that early diagnosis is essential for institution of anticoagulation therapy and a successful outcome. This report also illustrates the difficulties that may be encountered in managing such a patient.KEY WORDS: cerebral venous thrombosis, sagittal sinus thrombosis, nephrotic syndrome, child. Trombose venosa cerebral em uma criança com síndrome nefróticaRESUMO -A síndrome nefrótica na criança é sabidamente associada a um estado de hipercoagulabilidade e complicações tromboembólicas, entretanto a trombose venosa cerebral (TVC) é uma complicação muito rara e grave, com poucos relatos na literatura. Relatamos o caso de um menino de 9 anos com síndrome nefrótica que agudamente desenvolveu sinais e sintomas de uma síndrome de hipertensão intracraniana. TVC foi diagnosticada através de CT e IRM de crânio e o paciente gradualmente se recuperou após o tratamento com anticoagulantes. O diagnóstico de TVC deve ser considerado em qualquer paciente com síndrome nefrótica que desenvolva sintomas neurológicos. A discussão deste caso, associada à revisão da literatura, enfatiza que o diagnóstico precoce é essencial para instituição da terapia anticoagulante e para o bom prognóstico. Este relato também ilustra a dificuldade em manejar este tipo de paciente. PALAVRAS-CHAVE: trombose venosa cerebral, trombose do seio sagital, síndrome nefrótica, criança.

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Computed tomographic findings in cerebral sinus and venous thrombosis.

Cited by 154 publications

References 0 publications

Cerebral venous thrombosis--a review of 38 cases.

Cerebral venous thrombosis--a review of 38 cases.

Pediatric dural venous sinus thrombosis following closed head injury: an easily overlooked diagnosis with devastating consequences

Cerebral sinovenous thrombosis in a nephrotic child

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