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Published on: April 13, 2018
Labbé vein thrombosis.
Monique Boukobza1, Isabelle Crassard2, Marie-Germaine Bousser2
1Department of Neuroradiology and Therapeutic Angiography, Assistance publique - University Hospitals Lariboisière-St-Louis-Fernand-Widal, APHP - Paris-Diderot University, Paris, France 2, rue Ambroise Paré, 75010, Paris, France. m.boukobza@orange.fr.
Labbé vein thrombosis (LVT) often co-occurs with transverse sinus thrombosis (TST), leading to lesions in the Labbé vein territory. This association highlights potential risks and the need for comprehensive diagnosis in patients with venous sinus thrombosis.
Area of Science:
- Neurology
- Radiology
- Vascular Medicine
Background:
- Cerebral venous sinus thrombosis (CVST) is a serious condition with varied presentations.
- The Labbé vein (LV) is a superficial cerebral vein that can be involved in thrombosis.
- Understanding the relationship between Labbé vein thrombosis (LVT) and transverse sinus thrombosis (TST) is crucial for diagnosing associated lesions.
Purpose of the Study:
- To determine the prevalence of Labbé vein thrombosis (LVT).
- To evaluate the association between LVT and lesions in the ipsilateral transverse sinus thrombosis (TST) territory.
- To investigate the correlation between risk factors and the co-occurrence of LVT and TST.
Main Methods:
- Retrospective analysis of MRI findings in patients with acute LVT and TST (Group 1) versus TST without LVT (Group 2).
- Comparison of lesion prevalence and characteristics between the two groups.
- Statistical analysis to identify significant associations.
Main Results:
- LVT prevalence was 15.2%.
- In Group 1 (LVT + TST), 81% exhibited lesions in the Labbé vein territory, primarily hemorrhagic.
- A significant association was found between the extent of TST, presence of LVT, and associated lesions (p < 0.0001).
Conclusions:
- There is a strong association between the extent of transverse sinus thrombosis and the presence of Labbé vein thrombosis.
- Concomitant LVT and TST are linked to lesions in the Labbé vein territory and temporo-frontal convexity.
- Risk factors are significantly associated with the combined LVT-TST presentation.
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