(4) The incidence of childhood cerebrovenous
sinus thrombosis is 0.3 per 100 000 children per year, and neonates make up 43% of these patients.
Rheolytic catheter and thrombolysis of dural venous
sinus thrombosis: A case series.
TOF MR Venogram, T1 & GRE Sequences show Haemorrhagic infarcts in right parieto temporal lobe & left occipital lobe with loss of flow signal in right transverse sinus & adjacent right sigmoid sinus--case of venous
sinus thrombosisPlain computed tomography (CT) [Figure 1] and CT venogram [Figure 2] were suggestive of straight
sinus thrombosis. There were no subdural collections, hydrocephalus, or midline shift.
Due to positive ACL and LA, a decision was made to start treatment with anticoagulation of the low-molecular-weight [LMW] heparin subcutaneously followed by warfarin with target INR 2-2.5 and aspirin for clinical diagnosis of cerebral venous
sinus thrombosis (CVST).
Lee et al., "Giant arachnoid granulation mimicking dural
sinus thrombosis in a boy with headache: MRI," Neuroradiology, vol.
Infectious process can spread to the intracranial compartment ending up with meningitis, intracranial abscess, venous
sinus thrombosis and death when the infection is not treated effectively.1 The complications in adult cases are rare and most of them have an underlying immune suppression such as diabetes, renal failure, malignancies, positive serology for HIV, long-term usage of immuno-suppressant agents.2-9 In our patient, mastoiditis and facial nerve involvement were present as infratemporal complications of acute OM.
Patient can have seizure, diplopia, and cephalgia secondary to raised intracranial pressure as a result of cerebral venous
sinus thrombosis.
The differential diagnosis for extra-axial masses on CT is the following: acute subdural hematoma; epidural hematoma; foreign body; meningioma; meningeal metastases; dural
sinus thrombosis; cortical venous thrombosis; neurosarcoidosis; lymphoma; tuberculosis; dural A-V fistula; and rarely, extramedullary hematopoiesis; leukemia; venous varix; hemangiopericytoma; and malignant tumor.
A CT angiogram revealed the compromised left cavernous sinus and cavernous portion of the internal carotid artery and, subsequently, cavernous
sinus thrombosis, confirmed clinically and on imaging.
Dural
sinus thrombosis (DST) causes headache by virtue of impairment of venous outflow from the brain with re sultant increase in intracranial pressure.
Objective: To determine the frequency of raised D-dimer in patients of cerebral venous
sinus thrombosis (CVST) at Neurology Department, Military Hospital Rawalpindi.