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Updated: May 5, 2026

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
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Multimodal Imaging Reveals Labbé Vein Thrombosis Mimicking Subdural Hematoma: A Diagnostic Pitfall in Emergency

Kouichi Asahi1,2

  • 1Internal Medicine and Pediatrics, Kohokuekimae Ohisama Clinic, Tokyo, JPN.

Cureus
|June 11, 2025
PubMed

Insights

Labbé vein thrombosis can mimic common brain bleeds on initial CT scans. Multimodal imaging is crucial for accurate diagnosis of this rare cerebral venous thrombosis.

Area of Science:

  • Neurology
  • Radiology
  • Vascular Imaging

Background:

  • Cerebral venous thrombosis (CVT) is a rare condition that can present with diverse neurological symptoms.
  • Labbé vein thrombosis, a specific type of CVT, can be challenging to diagnose due to its potential to mimic other intracranial hemorrhagic pathologies on initial computed tomography (CT) scans.

Observation:

  • A 20-year-old male presented with acute right temporal headache and a hyperdense subcortical lesion on CT.
  • The lesion, consistent with a thrombus, measured approximately 65 Hounsfield Units (HU).

Findings:

  • Magnetic Resonance Imaging (MRI) revealed a T1 hyperintense thrombus within the vein of Labbé.
  • Digital subtraction angiography (DSA) confirmed venous occlusion, establishing the diagnosis of Labbé vein thrombosis.

Implications:

  • This case underscores a significant diagnostic pitfall in emergency neuroimaging, particularly differentiating CVT from hemorrhagic lesions.
  • The findings emphasize the critical role of multimodal imaging, including MRI and DSA, for accurate and timely diagnosis of Labbé vein thrombosis.
  • Early and accurate diagnosis facilitated by advanced imaging techniques can lead to appropriate treatment, such as anticoagulation, and favorable patient outcomes.

Keywords:
cerebral venous thrombosiscortical vein thrombosisdiagnostic pitfalllabbé vein thrombosismultimodal imagingsubdural hematoma mimicker

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