1,339 results match your criteria Brain Imaging in Venous Sinus Thrombosis

Traumatic cerebral dural sinus vein thrombosis/stenosis in pediatric patients-is anticoagulation necessary?

Childs Nerv Syst 2021 May 14. Epub 2021 May 14.

Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.

Introduction: Cerebral dural vein thrombosis/stenosis (CDVT/S) is a condition that affects the venous drainage of the brain. Risk factors and causes associated with CDVT/S include systemic risk factors that cause hypercoagulability, or local factors such as head trauma. While consensus is that non-traumatic sinus vein thrombosis should be treated with anticoagulation therapy, treatment of patients with TBI-induced CDVT is not yet established. Read More

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Brainstem Venous Infarction from Thrombosis on the Jugular Bulb as a Serious Complication of Blunt Head Trauma Injury: A Case Report.

Korean J Neurotrauma 2021 Apr 14;17(1):54-60. Epub 2021 Apr 14.

Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

The incidence of dural venous sinus thrombosis (DVST) and the cerebral venous infarct have not exactly known, but DVST is closely related to the skull fracture around the venous sinus. A 56-year-old man experienced massive watery discharge after hitting on his face by a falling machine. He was alert and no cerebrospinal fluid discharge on admission. Read More

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Lemierre's syndrome.

Pract Neurol 2021 May 7. Epub 2021 May 7.

Department of Neurology, Leeds Centre for Neurosciences, Leeds General Infirmary, Leeds, West Yorkshire, UK.

Lemierre's syndrome is a rare and potentially life-threatening condition that follows an oropharyngeal infection, typically from and usually affects healthy adolescents or young adults. The characteristic features are septic thrombophlebitis of the internal jugular vein and septic embolism leading to multiorgan involvement, commonly the brain, lungs and bones. We report a man with presenting symptoms suggesting hemicrania continua, whose initial imaging showed no features of dural venous sinus or jugular thrombosis. Read More

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Cerebral Venous Thrombosis in Acute Lymphoblastic Leukemia with Severe COVID-19: a Case Report.

SN Compr Clin Med 2021 Apr 30:1-5. Epub 2021 Apr 30.

Department of Medicine, Command Hospital, Kolkata, India.

Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has brought an unprecedented upheaval in our health-care systems. Amongst the many challenges posed by the disease, increased risk of thromboembolism has presented a distinct new front for increased mortality and morbidity. While there are multiple documented evidences for the same, the exact mechanism, knowledge of groups at-risk, and mitigation strategies are evolving. Read More

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A Rare Case of Cerebral Venous Thrombosis and Disseminated Intravascular Coagulation Temporally Associated to the COVID-19 Vaccine Administration.

J Pers Med 2021 Apr 8;11(4). Epub 2021 Apr 8.

Department of Medicine of Precision, School of Medicine, "Luigi Vanvitelli" University of Campania, 80147 Naples, Italy.

Globally, at the time of writing (20 March 2021), 121.759.109 confirmed COVID-19 cases have been reported to the WHO, including 2. Read More

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Scrub typhus with cerebral venous sinus thrombosis: a rare presentation.

BMJ Case Rep 2021 Apr 28;14(4). Epub 2021 Apr 28.

Neuro-Medicine, KPC Medical College and Hospital, Jadavpur, West Bengal, India

This is a rare presentation of scrub typhus with cerebral venous thrombosis. A 32-year-old woman presented with signs of raised intracranial tension. Examination revealed maculopapular skin rashes and an 'eschar' over the right thigh. Read More

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[Thrombosis and anatomic variants of intracranial dural venous sinuses].

Zh Nevrol Psikhiatr Im S S Korsakova 2021 ;121(3. Vyp. 2):5-9

Research Center of Neurology, Moscow, Russia.

A rather large number of different anatomic variants of intracranial dural venous sinuses are known, and they are found so often that interpreting them only as anomalies is unlikely, except for variations such as sinus aplasia or doubling, which can be attributed to anomalies of the venous system. Diameter reduction (hypoplasia) of the transverse and sigmoid sinuses is observed relatively often. In cases of dural sinuses anomalies, sinuses on the contralateral side are necessarily evaluated as the main source of compensation. Read More

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Diagnostic and therapeutic difficulties in patient with cerebral venous thrombosis - a case report.

Pol Merkur Lekarski 2021 Apr;49(290):146-149

Department of Radiological Diagnostics and and Isotope Therapy, University Clinical Hospital of the Military Medical Academy - Central Veterans Hospital, Łódź, Poland.

Cerebral venous infarction also known as cerebral venous thrombosis (CVT) is a rare disease. It is more common in young adults, but three times more common in women than in men. The clinical picture of CVT may vary and non-specific manifestations often delay correct diagnosis. Read More

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Cerebral venous sinus thrombosis due to external compression of internal jugular vein.

J Int Med Res 2021 Apr;49(4):3000605211006609

Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.

Cerebral venous sinus thrombosis (CVST) is a special subtype of stroke that may be life-threatening in severe cases. CVST has distinct risk factors and is frequently overlooked because of its initially nonspecific clinical presentation. We herein describe a 72-year-old man who developed CVST in the right lateral sinus. Read More

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Cerebral Venous Sinus Thrombosis in an Immunocompetent HIV Patient.

Cureus 2021 Mar 4;13(3):e13694. Epub 2021 Mar 4.

Neurology, Creighton University School of Medicine, Omaha, USA.

Cerebral venous sinus thrombosis (CVST) is an uncommon manifestation in patients with the human immunodeficiency virus (HIV) due to the virus's prothrombotic state. Our case involves a 41-year-old Hispanic male with a past medical history of HIV on bictegravir/emtricitabine/tenofovir/alafenamide (Biktarvy), hyperlipidemia, post-traumatic stress disorder, hypogonadism with the cessation of testosterone injections one month prior, and generalized anxiety disorder who presented with retro-orbital headache, intermittent bilateral blurry vision, and flashing lights in the lower lateral left eye for one week. Vitals signs and laboratory studies were within normal limits aside from new iron deficiency anemia. Read More

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An Observational Study to Evaluate the Effectiveness of Rivaroxaban in the Management of Cerebral Venous Sinus Thrombosis.

Cureus 2021 Mar 3;13(3):e13663. Epub 2021 Mar 3.

Neurology, Jinnah Medical College Hospital, Karachi, PAK.

Background and objectives Cerebral venous sinus thrombosis (CVST) is a relatively rare and underdiagnosed type of stroke. Rivaroxaban is licensed for venous thromboembolism in patients opting for elective knee and hip replacement surgeries, preventing pulmonary embolism and precluding stroke and systemic embolism in sufferers of non-valvular atrial fibrillation. Beneficial outcomes depicting the efficacious role of rivaroxaban in treating CVST are under study. Read More

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Neuroradiology of infectious diseases.

Curr Opin Infect Dis 2021 Jun;34(3):228-237

Section of Infectious Diseases, UT Health McGovern Medical School, Houston, Texas, USA.

Purpose Of Review: Early diagnosis of central nervous system (CNS) infections is crucial given high morbidity and mortality. Neuroimaging in CNS infections is widely used to aid in the diagnosis, treatment and to assess the response to antibiotic and neurosurgical interventions.

Recent Findings: The Infectious Diseases Society of America (IDSA) guidelines have clear recommendations for obtaining a computerized tomography of the head (CTH) prior to lumbar puncture (LP) in suspected meningitis. Read More

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Lemierre's syndrome with cavernous sinus thrombosis caused by dental infection.

BMJ Case Rep 2021 Mar 16;14(3). Epub 2021 Mar 16.

Department of Internal Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand

Lemierre's syndrome is a rare multisystemic infection beginning in oropharynx commonly caused by oral anaerobic organisms and leading to internal jugular vein thrombosis with septic emboli. Here, we describe a 45-year-old woman with hypertension and unrecognised type 2 diabetes who presented to a community hospital with fever, double vision and septic shock. Examination showed neck pain aggravated by neck flexion, limited ocular movement of right lateral rectus, left medial rectus and left superior oblique and incomplete ptosis of the left eye. Read More

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A Novel Mouse Model for Cerebral Venous Sinus Thrombosis.

Transl Stroke Res 2021 Mar 5. Epub 2021 Mar 5.

Laboratory for Vascular Translational Science (LVTS), INSERM UMR 1148, Université de Paris, 75018, Paris, France.

Cerebral venous sinus thrombosis (CVST) is an uncommon cause of stroke resulting in parenchymal injuries associated with heterogeneous clinical symptoms and prognosis. Therefore, an experimental animal model is required to further study underlying mechanisms involved in CVST. This study is aimed at developing a novel murine model suitable and relevant for evaluating injury patterns during CVST and studying its clinical aspects. Read More

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Bilateral thalamic lesion presenting as Broca's type subcortical aphasia in cerebral venous thrombosis: index case report.

BMJ Case Rep 2021 Mar 2;14(3). Epub 2021 Mar 2.

Neurology, Institute of Postgraduate Medical Education and Research, Bangur Institute of Neurosciences, Kolkata, West Bengal, India.

A 35-year-old man with a history of multiple substances abuse (alcohol, tobacco and cannabis) presented with acute, severe, holocranial headache associated with nausea and few episodes of vomiting followed by acute onset Broca-type aphasia with intact comprehension from next day, without any other focal neurodeficits, seizure or altered sensorium. Neurological examination was marked by Broca-type aphasia and failure in convergence reaction bilaterally, rest unremarkable. Brain imaging revealed lesions in bilateral thalamus, while magnetic resonance venography showed multiple flow voids in posterior part of superior sagittal sinus and bilateral transverse sinus. Read More

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Imaging Patterns of Encephalopathy in Patients with COVID-19.

J Coll Physicians Surg Pak 2021 Jan;30(1):S42-S45

Department of Radiology, The Aga Khan University Hospital, Karachi, Pakistan.

The aim of this retrospective observational study was to describe the neuroimaging manifestations of patients with COVID-19. This study was conducted at Aga Khan University Hospital, Karachi, Pakistan from March to July 2020. COVID-19 patients with neurological symptoms and positive neuroimaging were included after confirmation of COVID-19 by polymerase chain reaction test (PCR). Read More

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January 2021

Postpartum headaches after epidural or spinal anesthesia.

Curr Opin Obstet Gynecol 2021 Apr;33(2):94-99

Department of Anesthesia, Division of Obstetric Anesthesia, Stanford University, Stanford, California, USA.

Purpose Of Review: Postpartum headache is a common occurrence with various obstetric, neurologic, and anesthetic etiologies. Post dural puncture headache (PDPH) after neuraxial anesthesia is a culprit that may be less familiar to obstetricians. In this review, authors will discuss the differential diagnosis and management of postpartum headache, review PDPH, and explore evidence suggesting that PDPH may have greater implications than previously considered. Read More

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Bacterial meningitis complicated by cerebral venous thrombosis.

Eur Stroke J 2020 Dec 11;5(4):394-401. Epub 2020 Nov 11.

Department of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam Neuroscience, Amsterdam, The Netherlands.

Introduction: Community-acquired bacterial meningitis may be complicated by cerebral venous thrombosis (CVT), but this has not systematically been studied.

Methods: We evaluated clinical characteristics and outcome of CVT in adults with community-acquired bacterial meningitis in a prospective nationwide cohort study of bacterial meningitis (2006-2018) in the Netherlands.

Results: CVT occurred in 26 of 2220 episodes with bacterial meningitis (1%). Read More

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December 2020

The ugly duckling of aphasia: cerebral venous sinus thrombosis as a mimic of TIA and stroke.

J Community Hosp Intern Med Perspect 2021 Jan 26;11(1):156-157. Epub 2021 Jan 26.

Department of Internal Medicine, Reading Hospital and Medical Center, Reading, PA, USA.

Cerebral venous sinus thrombosis may present with transient aphasia and focal seizure-likeactivity mimicking a TIA or stroke. In this case, the patient's presentation was further complicated by non-diagnostic CT findings, which can be common in up to 27% of cases [1]. An 86-year-old right-handed male with a history of colon adenocarcinoma status post resection and recent surgery for right sphenoid wing meningioma presented to the ED with transient episodes of fluent aphasia lasting approximately 10 minutes and one episode of involuntary right-hand clenching, both of which resolved spontaneously and were concerning for possible TIA. Read More

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January 2021

Clinical characteristics, genes identification and follow-up study of a patient with central venous thrombosis from a protein S deficiency pedigree.

Eur Rev Med Pharmacol Sci 2021 01;25(1):353-361

Department of Geriatric Medicine, Qilu Hospital of Shandong University, Jinan, China.

Objective: To explore the clinical and prognostic features of CVT caused by PROS1 gene mutations and to provide clinical experience for new oral anticoagulants, such as rivaroxaban, in the treatment of CVT with a high risk of thrombosis.

Patients And Methods: The CVT patient's clinical symptoms were described, and the brain imaging and blood coagulation tests were performed to confirm the diagnosis of CVT. The patient's family members were recruited to receive blood coagulation tests and ultrasonic examination of lower limb vessels. Read More

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January 2021

Successive development of ischemic stroke and hemorrhagic stroke in a patient with essential thrombocythemia: a case report.

J Int Med Res 2021 Jan;49(1):300060520987718

Department of Gastroenterology, Shenzhen Shiyan People's Hospital, Shenzhen, China.

Patients with essential thrombocythemia (ET) can experience hemorrhagic or ischemic vascular events. The prevention of these complications is challenging, and the overall risk of vascular events caused by ET is often overlooked. A 34-year-old man was admitted for a 10-day history of weakness and numbness in his right limbs. Read More

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January 2021

Utility of susceptibility weighted imaging (SWI) and pseudo-continuous arterial spin labeling (pCASL) in diagnosis of falcine venous thrombosis in a child with transient ischemic attack.

Emerg Radiol 2021 Jun 16;28(3):683-686. Epub 2021 Jan 16.

Radiology Department, Naval Medical Center, San Diego, CA, USA.

Pediatric stroke and transient ischemic attack (TIA) are uncommon but true emergencies with a wide differential diagnosis. Diagnostic imaging plays a critical role in differentiating the diverse range of etiologies. In this case, we report a 3-year-old female with no medical history who developed acute neurological deficits and demonstrate how adjunct advanced imaging including susceptibility weighted imaging (SWI) and pseudo-continuous arterial spin labeling (pCASL) can play a significant diagnostic role in the emergent setting. Read More

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Skull base osteomyelitis with secondary cavernous sinus thrombosis: a rare presentation of an animate foreign body in the ear.

BMJ Case Rep 2021 Jan 11;14(1). Epub 2021 Jan 11.

Department of ENT-Otology, Neurotology & Cochlear Implant Unit, Christian Medical College and Hospital Vellore, Vellore, India.

A 42-year-old woman presented with fever, left ear pain, restricted mouth opening, difficulty in swallowing and inability to open her left eyelid for a period of 10 days. She was treated with antibiotics for the same at a local medical facility; however, a sudden decrease in her left eye vision prompted her to visit our tertiary centre. Her history was insignificant except for having multiple left ear syringing for an insect removal 10 days before onset of her current symptoms. Read More

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January 2021

Clinical Profile and Prognosis of Cerebral Venous Sinus Thrombosis.

Cureus 2020 Dec 22;12(12):e12221. Epub 2020 Dec 22.

Department of Obstetrics and Gynecology, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, PAK.

Introduction Cerebral venous sinus thrombosis (CVST) is an acute cerebrovascular disease diagnosed nowadays more frequently. Magnetic resonance venogram (MRV) is the modality of choice for accurate diagnosis. Young females in their childbearing age are prone to develop CVST. Read More

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December 2020

Unilateral persistent disc oedema due to cerebral sinus venous thrombosis (CSVT): diagnostic and management challenge.

BMJ Case Rep 2020 Dec 28;13(12). Epub 2020 Dec 28.

Consultant, Department of Pediatric Ophthalmology, Strabismus and Neuro-Ophthalmology, Child Sight Institute, Nimmagadda Prasad Children's Eye Care Centre, LV Prasad Eye Institute GMR Varalakshmi Campus, Visakhapatnam, India

A 50-year-old woman was incidentally diagnosed to have unilateral disc oedema during comprehensive ophthalmological evaluation. She had a prior history of ulcerative colitis. She had normal visual function and was initially diagnosed to have incipient non-arteritic anterior ischaemic optic neuropahty. Read More

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December 2020

Safety and efficacy of rivaroxaban in pediatric cerebral venous thrombosis (EINSTEIN-Jr CVT).

Blood Adv 2020 12;4(24):6250-6258

Bayer AG, Wuppertal, Germany.

Anticoagulant treatment of pediatric cerebral venous thrombosis has not been evaluated in randomized trials. We evaluated the safety and efficacy of rivaroxaban and standard anticoagulants in the predefined subgroup of children with cerebral venous thrombosis (CVT) who participated in the EINSTEIN-Jr trial. Children with CVT were randomized (2:1), after initial heparinization, to treatment with rivaroxaban or standard anticoagulants (continued on heparin or switched to vitamin K antagonist). Read More

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December 2020

Cerebral venous thrombosis after COVID-19.

Tidsskr Nor Laegeforen 2020 12 14;140(18). Epub 2020 Dec 14.

Background: There is emerging evidence of an increased risk of venous thromboembolism as well as several reports of cerebral venous thrombosis in COVID-19.

Case Presentation: A previously healthy man in his fifties was admitted due to sudden confusion and reduced consciousness. One month earlier the patient had symptoms with headache, fever, dry cough, vomiting and diarrhoea and reduced sense of taste and smell. Read More

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December 2020

Acute mastoiditis complicated by cerebral venous sinus thrombosis in children.

Int J Pediatr Otorhinolaryngol 2021 Feb 17;141:110508. Epub 2020 Nov 17.

Department of Paediatrics, University General Hospital of Heraklion, Medical School, University of Crete, Heraklion, Crete, Greece. Electronic address:

Aim: Diagnosis and management of complicated mastoiditis in childhood are still controversial. We investigated the clinical manifestations, evaluation and management of children with mastoiditis complicated with cerebral venous sinus thrombosis.

Methods: Retrospective cohort study that included all children admitted for acute mastoiditis over the last 5 years. Read More

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February 2021

Endovascular Cerebral Venous Sinus Imaging with Optical Coherence Tomography.

AJNR Am J Neuroradiol 2020 12 19;41(12):2292-2297. Epub 2020 Nov 19.

Division of Neurosurgery (J.R., Y.D., L.d.C., V.X.D.Y.), Sunnybrook Hospital, University of Toronto, Toronto, Ontario, Canada.

Background And Purpose: Imaging of the cerebral venous sinuses has evolved Substantially during the past 2 decades, and most recently intravascular sinus imaging with sonography has shed light on the pathophysiology of sinus thrombosis and intracranial hypertension. Optical coherence tomography is the highest resolution intravascular imaging technique available but has not been previously used in cerebral sinus imaging. The purpose of this study was to develop a preclinical animal model of endovascular optical coherence tomography cerebral venous sinus imaging and compare optical coherence tomography findings with histology. Read More

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December 2020

The case of a 69-year-old man with COVID-19 and encephalopathy.

Ann Clin Transl Neurol 2021 01 17;8(1):300-301. Epub 2020 Nov 17.

Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA.

A 69-year-old man with uncontrolled type 2 diabetes presented to an outside hospital with altered mental status. He progressed from being argumentative to encephalopathic and agitated by the evening with urinary frequency, urinary urgency, nausea, and vomiting. His vital signs were normal, and he had no focal neurological deficits on presentation. Read More

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January 2021