Isolated cortical venous thrombosis and ulcerative colitis

Aseptic cortical venous thrombosis is rare without concomitant dural sinus thrombosis. Ulcerative colitis is associated with both dural sinus thrombosis and isolated cortical venous thrombosis. We describe a 26-year-old woman with ulcerative colitis who had a spontaneous cerebral hemorrhage. An overlying thrombosed cortical vein was identified on spin-echo MR images and confirmed with angiography. Signal characteristics of thrombosed cortical veins are similar to those described in dural sinus thrombosis.