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Recovery from primary deep cerebral venous sinus thrombosis with recanalisation
Authors:Y Nagatomo  K Yanaka  T Kamezaki  E Kobayashi  A Matsumura  T Nose
Institution:(1) Department of Neurosurgery, Tsukuba Medical Center Hospital, I-3-I Amakubo, 305 Tsukuba, Japan;(2) Department of Neurosurgery, Tsukuba Memorial Hospital, 1187-299 Oaza Kaname, 305 Tsukuba, Japan;(3) Department of Neurosurgery, University of Tsukuba, 2-1-1 Amakubo, 305 Tsukuba, Japan
Abstract:A 50-year-old woman with idiopathic deep cerebral sinus and vein thrombosis (DCVT) had cerebellar disturbance prior to impaired consciousness. CT and MRI revealed haemorrhagic infarction in the cerebellum and signal changes suggesting infarction in the thalamus and basal ganglia bilaterally. The straight sinus and internal cerebral vein (ICV) were dense on CT. On angiography, the vein of Galen (VG) and straight sinus were not seen. Following clinical recovery, CT and MRI became normal, and angiography showed recanalization of the VG and ICV. The relationship between cerebellar infarction and DCVT, and signal changes on CT and MRI are discussed.
Keywords:Sinus thrombosis  Reperfusion  Cerebral infarction  Computed tomography  Magnetic resonance imaging
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