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Recovery from primary deep cerebral venous sinus thrombosis with recanalisation

Y Nagatomo1, K Yanaka, T Kamezaki

  • 1Department of Neurosurgery, Tsukuba Medical Center Hospital, Japan.

Neuroradiology
|November 1, 1995
PubMed

Insights

Idiopathic deep cerebral sinus and vein thrombosis (DCVT) can cause cerebellar infarction and altered consciousness. Successful treatment led to imaging improvements and recanalization of cerebral veins.

Area of Science:

  • Neurology
  • Radiology
  • Vascular Medicine

Background:

  • Deep cerebral sinus and vein thrombosis (DCVT) is a rare condition.
  • Cerebellar involvement in DCVT is uncommon.
  • Idiopathic DCVT presents diagnostic challenges.

Observation:

  • A 50-year-old woman presented with cerebellar symptoms preceding impaired consciousness.
  • Imaging revealed hemorrhagic cerebellar infarction and thalamic/basal ganglia lesions.
  • CT showed dense straight sinus and internal cerebral vein (ICV); angiography confirmed non-visualization of vein of Galen (VG) and straight sinus.

Findings:

  • Cerebellar infarction was associated with DCVT.
  • CT and MRI demonstrated characteristic signal changes of infarction.
  • Angiography revealed occlusion of major cerebral veins.

Implications:

  • This case highlights the potential neurological manifestations of DCVT.
  • Early diagnosis and treatment are crucial for favorable outcomes.
  • Understanding imaging findings aids in DCVT diagnosis and management.

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