Isolated superior striate vein thrombosis in adults

Mazini, Bianca; Bonvin, Christophe; Gailloud, Philippe; Millán, Diego San

doi:10.1177/1591019919900825

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…The CT and MRI findings suggested that the CMBs resulted from no other pathologies; for example, vessels, mineralisation, haemorrhagic infarction, partial volume artifacts, or cavernous angiomas. Isolated superior striate vein thrombosis may cause a thrombotic lesion in the superior portion of the lentiform nucleus and the internal capsule; 6 however, no thrombosed vein or clearly demarcated lesions supported lacunar infarcts in our cases. There was no MRI study before the onset of the infarction in our cases; however, the CMBs were surrounded by an oedema, and the oedema faded out over time, suggesting the CMBs occurred at the same time as or shortly before the onset of the lacunar strokes.…”

Section: Discussioncontrasting

confidence: 68%

Acute cerebral microbleeds at the edge of lacunar strokes: cause or result

et al. 2021

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We investigated the pathogenic relationship between cerebral microbleeds and lacunar strokes. Two cases of lacunar strokes in the region of the basal ganglia, a 72-year-old man and a 67-year-old man, were studied; both cases showed cerebral microbleeds in the stroke areas. The cerebral microbleeds were surrounded by oedema, and the oedema faded out over time, suggesting the cerebral microbleeds had developed acutely. The cerebral microbleeds were located at the ventrolateral edge of the lacunar infarctions, and the locations appeared to be at or near the sites of occlusion of the lenticulostriatal branches. Although a cerebral microbleed and a lacunar infarction may be two unrelated events on juxtapositioned vessels, or a cerebral microbleed may be haemorrhagic conversion of an infarction, a cerebral microbleed could cause an occlusion of the arterial branch, leading to lacunar infarction of its supplying territories.

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Section: Discussioncontrasting

confidence: 68%

Acute cerebral microbleeds at the edge of lacunar strokes: cause or result

et al. 2021

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“…Twenty-eight records were excluded because they were duplicates. Three additional records were excluded: 1 study included only adults [19], and 2 studies reported outcomes different from those of interest [20, 21]. A total of 14 full-text articles were assessed for eligibility.…”

Section: Resultsmentioning

confidence: 99%

Deep Medullary Vein Thrombosis in Newborns: A Systematic Literature Review

Pin,

Leonardi,

Nosadini

et al. 2023

Neonatology

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Background: Deep medullary vein (DMV) thrombosis is a rare cause of brain damage in both preterm and full-term neonates. In this study, we aimed to collect data on clinical and radiological presentation, treatment, and outcome of neonatal DMV thrombosis. Methods: Systematic literature review on neonatal DMV thrombosis was carried out in PubMed, ClinicalTrial.gov, Scopus, and Web of Science up to December 2022. Results: Seventy-five published cases of DMV thrombosis were identified and analysed (preterm newborns were 46%). Neonatal distress, respiratory resuscitation, or need for inotropes were present in 34/75 (45%) of patients. Signs and symptoms at presentation included seizures (38/75, 48%), apnoea (27/75, 36%), lethargy or irritability (26/75, 35%). At magnetic resonance imaging (MRI), fan-shaped linear T2 hypointense lesions were documented in all cases. All had ischaemic injuries, most often involving the frontal (62/74, 84%) and parietal lobes (56/74, 76%). Signs of haemorrhagic infarction were present in 53/54 (98%). Antithrombotic treatment was not mentioned in any of the studies included. Although mortality was low (2/75, 2.6%), a large proportion of patients developed neurological sequelae (intellectual disability in 19/51 [37%] and epilepsy in 9/51 [18%] cases). Conclusions: DMV thrombosis is rarely identified in the literature, even if it is possibly under-recognized or under-reported. Presentation in neonatal age is with seizures and non-specific systemic signs/symptoms that often cause diagnostic delay, despite the pathognomonic MRI picture. The high rate of morbidity, which determines significant social and health costs, requires further in-depth studies aimed at earlier diagnosis and evidence-based prevention and therapeutic strategies.

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“…Vascular territories between superior striatal veins and deep medullary veins might not be sharply demarcated. Venous ischemic lesion reported by Dr Bianca Mazini et al 1 may include not only venous thrombosis of superior striatal veins but that of deep medullary veins as well. Good prognosis of the two reported patients could be explained by good collateral to inferior striatal veins and/or superficial medullary veins draining to deep and superficial MCVs, respectively.…”

Section: Alternative Routes In High-flow Arteriovenous Shuntsmentioning

confidence: 89%