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NeuroImaging Nibble Subtle Sinus Venous Thrombosis

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Neuro Imaging Nibble: Subtle Sinus Venous Thrombosis by Brandon Foreman

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NeuroImaging Nibble Subtle Sinus Venous Thrombosis

  1. 1. Brandon Foreman, MD FACNS NEUROIMAGING NIBBLE
  2. 2. 37 Y/O WOMAN 8 WEEKS PREGNANT ▶ Presented to ED with WHOL -> diagnosed with migraine and discharged ▶ Presented next day with ongoing HA -> LP neg for xanthochromia and discharged
  3. 3. Photo credit: https://openi.nlm.nih.gov/imgs/512/390/3337512/PMC3337512_THROMB2012-210676.001.png; NIH.gov
  4. 4. NCHCT CTV: Empty Delta T1 SE
  5. 5. Cord Sign
  6. 6. 67 Y/O WOMAN WITH UC & NEW- ONSET SEIZURES
  7. 7. SUMMARY ▶ Headache with risk factors (hormones, chronic inflammation/malignancy) +/- seizures ▶ Dense sinuses ▶ Cortical (or bilateral) stroke/hemorrhage ▶ Does not adhere to a vascular territory ▶ Edema>hemorrhage Case courtesy of Dr Maxime St-Amant, Radiopaedia.org. From the case: https://radiopaedia.org/cases/22398

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