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01-01-2016 | Diagnostic Neuroradiology

Radiological findings in cerebral venous thrombosis presenting as subarachnoid hemorrhage: a series of 22 cases

Authors: Monique Boukobza, Isabelle Crassard, Marie-Germaine Bousser, Hugues Chabriat

Published in: Neuroradiology | Issue 1/2016

Abstract

Introduction

The main objectives of the present study are to assess the incidence of cerebral venous thrombosis (CVT) presenting as isolated subarachnoid hemorrhage (SAH) and to determine the occurrence of cortical venous thrombosis (CoVT).

Methods

Among 332 patients with CVT, investigated with the same CT and MR standardized protocol, 33 (10 %) presented with SAH, associated in 11 cases with hemorrhagic infarct or intracerebral hemorrhage. This study is based on 22 cases of CVT presenting as SAH in the absence of hemorrhagic brain lesion. Diagnosis of sinus thrombosis was established on T2* and magnetic resonance venography and that of CoVT on T2* sequence. Diagnostic of SAH was based on fluid-attenuated inversion recovery (FLAIR) sequence.

Results

CVT involved lateral sinus in 18 patients, superior sagittal sinus in 16, and straight sinus in 1. Cortical veins were involved in all patients, in continuity with dural sinus thrombosis when present. SAH was circumscribed to few sulci in all cases and mainly localized at the convexity (21 cases). CoVT implied different areas on the same side in four patients and was bilateral in seven. There was no perimesencephalic or basal cisterns hemorrhage. Cortical swelling was present in 12 cases, associated with localized edema. All patients except one had a favorable outcome.

Conclusion

This report shows that the incidence of CVT presenting as isolated SAH is evaluated to 6.4 % and that SAH is, in all cases, in the vicinity of CoVT and when dural thrombosis is present in continuity with it.

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Title: Radiological findings in cerebral venous thrombosis presenting as subarachnoid hemorrhage: a series of 22 cases
Authors: Monique Boukobza
Isabelle Crassard
Marie-Germaine Bousser
Hugues Chabriat
Publication date: 01-01-2016
Publisher: Springer Berlin Heidelberg
Published in: Neuroradiology / Issue 1/2016
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-015-1594-5

At a glance: The STEP trials

Springer Medicine

Radiological findings in cerebral venous thrombosis presenting as subarachnoid hemorrhage: a series of 22 cases

Abstract

Introduction

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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