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Computer tomography in superior sagittal sinus thrombosis

J Brismar

    Acta Radiologica: Diagnosis
    |January 1, 1980
    PubMed
    Summary

    Aseptic superior sagittal sinus thrombosis can present with varied CT findings, including intracerebral hemorrhages. These specific findings suggest potential superior sagittal sinus thrombosis, aiding diagnosis.

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    Area of Science:

    • Neurology
    • Radiology
    • Vascular Imaging

    Background:

    • Superior sagittal sinus thrombosis (SSST) is a rare condition affecting venous drainage in the brain.
    • Accurate and timely diagnosis of SSST is crucial for effective patient management and preventing complications.

    Observation:

    • This study examined computed tomography (CT) findings in four cases (three confirmed, one possible) of aseptic superior sagittal sinus thrombosis.
    • CT scans revealed a spectrum of abnormalities, from normal appearances to significant intracerebral hemorrhages.

    Findings:

    • Intracerebral hemorrhages, particularly when surrounded by low-attenuation regions, were observed.
    • These specific hemorrhagic patterns on CT are suggestive indicators of potential superior sagittal sinus thrombosis.

    Implications:

    • The findings highlight the importance of considering SSST in the differential diagnosis of patients presenting with specific CT findings.
    • Recognizing these subtle CT signs can improve the diagnostic accuracy and speed of identifying SSST.

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