35-year old gentleman presented with episodes of headache for the past two weeks. There were no other significant past history.

CT brain showed features of 1. Right transverse sinus thrombosis (red arrow), 2. Internal cerebral veins thrombosis (thin yellow arrow), 3. Straight sinus thrombosis (orange arrow), 4. Superior sagittal sinus thrombosis (thick yellow arrow)

MR Venography showed features of extensive venous sinus thrombosis, with multiple collaterals. This was suggestive of chronic venous sinus thrombosis. Collaterals are appearing tortuous, and a possibility of dural arterio-venous fistula should be kept in mind. A cerebral angiogram may be needed.

He was started on low molecular weight heparin injection, with which he had a good response. Work up for the causes of venous thrombosis is awaited.

Published by Dr Sudhir Kumar MD (Medicine) DM (Neurology)

I am a doctor with 25 years experience. I have worked as a neurologist for about 20 years. Educating public and healthcare professionals is very dear to me. This is possible due to my interactions with thousands of patients and their caregivers. I salute the patients who suffer and it is our duty to minimise suffering by preventing diseases and ensuring prompt diagnosis and treatment of those already affected.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Create your website with WordPress.com
Get started
%d bloggers like this: