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Combined Near-infrared Fluorescent Imaging and Micro-computed Tomography for Directly Visualizing Cerebral Thromboemboli
Published on: September 25, 2016
Isolated straight sinus thrombosis: clinical and neuroradiologic correlates
J Valeriano1, K Bhagavatula, A Ku
1Department of Neurology, MCP-Hahnemann School of Medicine, Allegheny General Hospital, Pittsburgh, PA, USA.
Summary
A rare case of straight sinus thrombosis, a serious condition, was diagnosed in a 36-year-old female experiencing severe migraines. Diagnostic imaging confirmed the blockage, highlighting a critical link between migraine and this vascular event.
Area of Science:
- Neurology
- Vascular Imaging
- Radiology
Background:
- Straight sinus thrombosis is a rare but serious condition affecting venous blood flow in the brain.
- Status migrainosus, a prolonged migraine attack, can be debilitating and may have various underlying causes.
Observation:
- A 36-year-old female presented with sudden onset of status migrainosus.
- Initial noncontrast computed tomography revealed a linear density in the midline, suggestive of thrombosis.
Findings:
- Magnetic resonance imaging demonstrated a filling defect in the straight sinus.
- Magnetic resonance venography and 4-vessel digital subtraction angiography confirmed the absence of blood flow in the straight sinus, establishing the diagnosis of straight sinus thrombosis.
Implications:
- This case highlights a potential association between severe migraine episodes and straight sinus thrombosis.
- Accurate and timely diagnosis through advanced neuroimaging is crucial for managing this rare condition.
- Further research may elucidate the specific mechanisms linking migraine and cerebral venous thrombosis.
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