Isolated deep cerebral venous thrombosis diagnosed on CT and MR imaging. A case study and literature review

D Crombé1, Fr Haven, M Gille

  • 1Department of Medical Imaging , Cliniques de l'Europe, Bruxelles, Belgium.

Insights

Isolated cerebral deep venous thrombosis is rare, accounting for less than 5% of strokes. This case highlights key CT and MRI signs for early diagnosis, potentially preventing severe outcomes.

Area of Science:

  • Neurology
  • Radiology
  • Vascular Medicine

Background:

  • Cerebral venous thrombosis (CVT) is an uncommon cause of stroke, comprising <5% of all stroke cases.
  • Isolated deep cerebral venous thrombosis, particularly involving the internal cerebral veins and vein of Galen, is exceptionally rare.

Observation:

  • A case of isolated thrombosis of the internal cerebral veins and vein of Galen is presented.
  • Diagnosis was confirmed using computed tomography (CT) and magnetic resonance imaging (MRI).

Findings:

  • Specific pathognomonic signs on CT and MRI enable early diagnosis of this rare condition.
  • These imaging findings can obviate the need for conventional angiography.

Implications:

  • Early diagnosis and prompt treatment of isolated cerebral deep venous thrombosis are crucial.
  • Timely intervention can prevent potentially devastating neurological consequences associated with this condition.

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