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Published in: Neuroradiology 2/2004

01-02-2004 | Diagnostic Neuroradiology

Reversal of restricted diffusion in cerebral venous thrombosis: case report

Authors: D. Sarma, R. I. Farb, D. J. Mikulis, K. G. terBrugge

Published in: Neuroradiology | Issue 2/2004

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Abstract

We report a patient with extensive cerebral venous thrombosis who showed complete reversal of restricted diffusion on MRI, accompanied by excellent clinical recovery. The implications of these findings in relation to interpretation of diffusion changes in cerebral venous thrombosis are discussed, and differences with arterial stroke are highlighted.
Literature
1.
go back to reference Farb RI, Scott JN, Willinsky RA, Montanera WJ, Wright GA, terBrugge KG (2003) Intracranial venous system: gadolinium-enhanced three-dimensional MR venography with auto-triggered elliptic centric-ordered sequence: initial experience. Radiology 226: 203–209PubMed Farb RI, Scott JN, Willinsky RA, Montanera WJ, Wright GA, terBrugge KG (2003) Intracranial venous system: gadolinium-enhanced three-dimensional MR venography with auto-triggered elliptic centric-ordered sequence: initial experience. Radiology 226: 203–209PubMed
2.
go back to reference Lee SK, Kim BS, terBrugge KG (2002) Clinical presentation, imaging and treatment of cerebral venous thrombosis (CVT). Intervent Neuroradiol 8: 5–14 Lee SK, Kim BS, terBrugge KG (2002) Clinical presentation, imaging and treatment of cerebral venous thrombosis (CVT). Intervent Neuroradiol 8: 5–14
3.
go back to reference Le Bihan D, Breton E, Lallemand D, Grenier P, Cabanis E, Laval-Jeantet M (1988) MR imaging of intravoxel incoherent motion: application to diffusion and perfusion in neurologic disorders. Radiology 161: 401-407 Le Bihan D, Breton E, Lallemand D, Grenier P, Cabanis E, Laval-Jeantet M (1988) MR imaging of intravoxel incoherent motion: application to diffusion and perfusion in neurologic disorders. Radiology 161: 401-407
4.
go back to reference Benveniste H, Hedlung LW, Johnson GA (1992) Mechanism of detection of acute cerebral ischemia in rats by diffusion-weighted magnetic resonance microscopy. Stroke 23: 746—754PubMed Benveniste H, Hedlung LW, Johnson GA (1992) Mechanism of detection of acute cerebral ischemia in rats by diffusion-weighted magnetic resonance microscopy. Stroke 23: 746—754PubMed
5.
go back to reference Berry I, Gigaud M, Manelife C (1992) Experimental focal cerebral ischemia assessed with IVIM-MRI in the acute phase at 0.5 tesla. Neuroradiology 34: 135—140PubMed Berry I, Gigaud M, Manelife C (1992) Experimental focal cerebral ischemia assessed with IVIM-MRI in the acute phase at 0.5 tesla. Neuroradiology 34: 135—140PubMed
6.
go back to reference Warach S, Chien D, Li W, Ronthal M, Edelman RR (1992) Fast magnetic resonance diffusion-weighted imaging of acute human stroke. Neurology 42: 1717—1723PubMed Warach S, Chien D, Li W, Ronthal M, Edelman RR (1992) Fast magnetic resonance diffusion-weighted imaging of acute human stroke. Neurology 42: 1717—1723PubMed
7.
go back to reference Yoshikawa T, Abe O, Tsuchiya K, et al (2002) Diffusion-weighted magnetic resonance imaging of dural sinus thrombosis. Neuroradiology 44: 481–488CrossRefPubMed Yoshikawa T, Abe O, Tsuchiya K, et al (2002) Diffusion-weighted magnetic resonance imaging of dural sinus thrombosis. Neuroradiology 44: 481–488CrossRefPubMed
8.
go back to reference J. Fiebach, O. Jansen, P. Schellinger, S. Heiland, W. Hacke, K. Sartor (2002) Serial analysis of the apparent diffusion coefficient time course in human stroke. Neuroradiology 44: 294–298PubMed J. Fiebach, O. Jansen, P. Schellinger, S. Heiland, W. Hacke, K. Sartor (2002) Serial analysis of the apparent diffusion coefficient time course in human stroke. Neuroradiology 44: 294–298PubMed
9.
go back to reference Li F, Silva MD, Sotak CH, Fisher M (2000) Temporal evolution of ischemic injury evaluated with diffusion-, perfusion-, and T2-weighted MRI. Neurology; 54: 689–696 Li F, Silva MD, Sotak CH, Fisher M (2000) Temporal evolution of ischemic injury evaluated with diffusion-, perfusion-, and T2-weighted MRI. Neurology; 54: 689–696
10.
go back to reference Singhal AB, Dijkhuizen RM, Rosen BR, Lo EH (2002) Normobaric hyperoxia reduces MRI diffusion abnormalities and infarct size in experimental stroke. Neurology 58: 945–952PubMed Singhal AB, Dijkhuizen RM, Rosen BR, Lo EH (2002) Normobaric hyperoxia reduces MRI diffusion abnormalities and infarct size in experimental stroke. Neurology 58: 945–952PubMed
11.
go back to reference Krueger K, Krugel H, Grond M, Thiel A, Maintz D, Lackner K (2000) Late resolution of diffusion-weighted MRI changes in a patient with prolonged reversible ischemic deficit after thrombolytic therapy. Stroke 31: 2715–2718PubMed Krueger K, Krugel H, Grond M, Thiel A, Maintz D, Lackner K (2000) Late resolution of diffusion-weighted MRI changes in a patient with prolonged reversible ischemic deficit after thrombolytic therapy. Stroke 31: 2715–2718PubMed
12.
go back to reference Forbes KPN, Pipe JG, Heiserman JE (2001) Evidence for cytotoxic edema in pathogenesis of cerebral venous infarction. AJNR 22: 450–455 Forbes KPN, Pipe JG, Heiserman JE (2001) Evidence for cytotoxic edema in pathogenesis of cerebral venous infarction. AJNR 22: 450–455
13.
go back to reference Ducreux D, Oppenheim C, Vandamme X, et al (2001) Diffusion-weighted imaging patterns of brain damage associated with cerebral venous thrombosis. AJNR 22: 261–268 Ducreux D, Oppenheim C, Vandamme X, et al (2001) Diffusion-weighted imaging patterns of brain damage associated with cerebral venous thrombosis. AJNR 22: 261–268
14.
go back to reference Chu K, Kang DW, Yoon BW, Roh JK (2001) Diffusion-weighted magnetic resonance in cerebral venous thrombosis. Arch Neurol 58: 1569–1576PubMed Chu K, Kang DW, Yoon BW, Roh JK (2001) Diffusion-weighted magnetic resonance in cerebral venous thrombosis. Arch Neurol 58: 1569–1576PubMed
15.
go back to reference Manzione J, Newman GC, Shapiro A, Santo-Ocampo R (2000) Diffusion- and perfusion-weighted imaging of dural sinus thrombosis. AJNR 21: 68–73 Manzione J, Newman GC, Shapiro A, Santo-Ocampo R (2000) Diffusion- and perfusion-weighted imaging of dural sinus thrombosis. AJNR 21: 68–73
16.
go back to reference Jenkins J, Hussain N, Lee D, Jog MS (2001) Reversible parkinsonism and MRI diffusion abnormalities in cortical venous thrombosis. Neurology 57: 364–366 Jenkins J, Hussain N, Lee D, Jog MS (2001) Reversible parkinsonism and MRI diffusion abnormalities in cortical venous thrombosis. Neurology 57: 364–366
17.
go back to reference Stolz E, Gerriets T, Bodeker RH, Hugens-Penzel M, Kaps M (2002) Intracranial venous hemodynamics is a factor related to a favorable outcome in cerebral venous thrombosis. Stroke 33: 1645–1650CrossRefPubMed Stolz E, Gerriets T, Bodeker RH, Hugens-Penzel M, Kaps M (2002) Intracranial venous hemodynamics is a factor related to a favorable outcome in cerebral venous thrombosis. Stroke 33: 1645–1650CrossRefPubMed
Metadata
Title
Reversal of restricted diffusion in cerebral venous thrombosis: case report
Authors
D. Sarma
R. I. Farb
D. J. Mikulis
K. G. terBrugge
Publication date
01-02-2004
Publisher
Springer-Verlag
Published in
Neuroradiology / Issue 2/2004
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-003-1121-y

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