Cerebral venous thrombosis: report of 2 cases of hemorrhagic venous infarction

Cerebral venous thrombosis (CVT), a rare but potentially severe cerebrovascular disease, is defined as the thrombosis of a cortical or deep cerebral vein, or a cerebral venous sinus. This article reports 2 cases of CVT. In the first case, the patient is a 40-year-old woman with a history of 2 miscar...

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Autores principales: Hoang, Thi Phuong Thao, Perazzini, Chiara, Ngo, Dac Hong An, Saby, Celine, Bendjelid, Si-M'Hamed, Boyer, Louis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306535/
https://www.ncbi.nlm.nih.gov/pubmed/32595815
http://dx.doi.org/10.1016/j.radcr.2020.05.009
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author Hoang, Thi Phuong Thao
Perazzini, Chiara
Ngo, Dac Hong An
Saby, Celine
Bendjelid, Si-M'Hamed
Boyer, Louis
author_facet Hoang, Thi Phuong Thao
Perazzini, Chiara
Ngo, Dac Hong An
Saby, Celine
Bendjelid, Si-M'Hamed
Boyer, Louis
author_sort Hoang, Thi Phuong Thao
collection PubMed
description Cerebral venous thrombosis (CVT), a rare but potentially severe cerebrovascular disease, is defined as the thrombosis of a cortical or deep cerebral vein, or a cerebral venous sinus. This article reports 2 cases of CVT. In the first case, the patient is a 40-year-old woman with a history of 2 miscarriages, using oral contraception and presenting intense headache, cervical irradiation, and drowsiness. The second case reports a 43-year-old woman with a history of Crohn disease and daily use of oral contraception, presenting headache, neck pain, and hypersensitivity to noise and light. Noncontrast CT, CT venography, magnetic resonance imaging (MRI) and MR venography (MRV), first-line noninvasive diagnostic modalities in clinical practice, led us to the diagnosis of CVT: hypoplastic lateral sinus CVT in the first case and deep cerebral vein CVT complicated by hemorrhagic infarction in the second case. The early diagnosis of CVT is extremely important, but often a challenge due to highly variable clinical presentation and radiographic findings. MRI and the MRV play a crucial role in case of anatomical variant and in better assessing the extension of thrombus, as well as parenchyma involvement and complications.
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spelling pubmed-73065352020-06-25 Cerebral venous thrombosis: report of 2 cases of hemorrhagic venous infarction Hoang, Thi Phuong Thao Perazzini, Chiara Ngo, Dac Hong An Saby, Celine Bendjelid, Si-M'Hamed Boyer, Louis Radiol Case Rep Neuroradiology Cerebral venous thrombosis (CVT), a rare but potentially severe cerebrovascular disease, is defined as the thrombosis of a cortical or deep cerebral vein, or a cerebral venous sinus. This article reports 2 cases of CVT. In the first case, the patient is a 40-year-old woman with a history of 2 miscarriages, using oral contraception and presenting intense headache, cervical irradiation, and drowsiness. The second case reports a 43-year-old woman with a history of Crohn disease and daily use of oral contraception, presenting headache, neck pain, and hypersensitivity to noise and light. Noncontrast CT, CT venography, magnetic resonance imaging (MRI) and MR venography (MRV), first-line noninvasive diagnostic modalities in clinical practice, led us to the diagnosis of CVT: hypoplastic lateral sinus CVT in the first case and deep cerebral vein CVT complicated by hemorrhagic infarction in the second case. The early diagnosis of CVT is extremely important, but often a challenge due to highly variable clinical presentation and radiographic findings. MRI and the MRV play a crucial role in case of anatomical variant and in better assessing the extension of thrombus, as well as parenchyma involvement and complications. Elsevier 2020-06-18 /pmc/articles/PMC7306535/ /pubmed/32595815 http://dx.doi.org/10.1016/j.radcr.2020.05.009 Text en © 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Neuroradiology
Hoang, Thi Phuong Thao
Perazzini, Chiara
Ngo, Dac Hong An
Saby, Celine
Bendjelid, Si-M'Hamed
Boyer, Louis
Cerebral venous thrombosis: report of 2 cases of hemorrhagic venous infarction
title Cerebral venous thrombosis: report of 2 cases of hemorrhagic venous infarction
title_full Cerebral venous thrombosis: report of 2 cases of hemorrhagic venous infarction
title_fullStr Cerebral venous thrombosis: report of 2 cases of hemorrhagic venous infarction
title_full_unstemmed Cerebral venous thrombosis: report of 2 cases of hemorrhagic venous infarction
title_short Cerebral venous thrombosis: report of 2 cases of hemorrhagic venous infarction
title_sort cerebral venous thrombosis: report of 2 cases of hemorrhagic venous infarction
topic Neuroradiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306535/
https://www.ncbi.nlm.nih.gov/pubmed/32595815
http://dx.doi.org/10.1016/j.radcr.2020.05.009
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