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Occipital Sinus Thrombosis: An Exceptional Case Report.

Rahma Beyrouti¹, Malek Mansour¹, Amel Kacem²

¹Department of Neurology, Military Hospital of Tunis, Sfax, Tunisia.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association

|April 3, 2016

Summary

This case report details an exceptionally rare instance of occipital sinus thrombosis, a venous variation. Early recognition and understanding of cerebral venous anatomy are crucial for managing such rare conditions.

Keywords:

Occipital sinus dural venous sinuses thrombosis venography

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Area of Science:

Neuroscience
Radiology
Vascular Anatomy

Background:

Dural venous sinus variations can complicate imaging interpretation and surgical procedures.
The occipital sinus is an infrequently reported anatomical variation.
This study focuses on an exceptional case of occipital sinus thrombosis.

Observation:

A 48-year-old male with hypertension and renal failure presented with severe headache, vomiting, and blurred vision.
Initial brain CT was normal, but a subsequent CT revealed occipital sinus hyperdensity.
MRI and MR venography confirmed occipital sinus thrombosis with torcular ectasia.

Findings:

Occipital sinus thrombosis is a rare condition with limited literature reports.
The case highlights the diagnostic utility of advanced imaging modalities.
Successful management involved anticoagulation and antiepileptic drugs.

Implications:

Understanding rare cerebral venous variations is vital for accurate diagnosis and treatment.
Recognition of anatomical anomalies aids in managing complex neurological presentations.
This case contributes to the limited knowledge base on occipital sinus pathologies.