Zakrzepica żył i zatok mózgowia – opis przypadku

2017 ◽  
pp. 8
Author(s):  
Mariusz Wachowski
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Sinus Thrombosis ◽  
Venous Sinus ◽  
Susceptibility Weighted Imaging ◽  
Resonance Imaging ◽  
Venous Sinus Thrombosis ◽  
Dural Venous Sinus ◽  
Magnetic Resonance Imaging Mri ◽  
Dural Venous Sinus Thrombosis

Tło. Zakrzepica zatok żylnych (dural venous sinus thrombosis – DVST) stanowi istotny i trudny problem diagnostyczny ze względu na mało specyfi czny obraz kliniczny oraz zróżnicowaną dynamikę objawów. Celem niniejszego opisu przypadku jest uzasadnieniemożliwości wykorzystania sekwencji zależnej od podatności magnetycznej (susceptibility-weighted imaging – SWI) w skutecznym rozpoznawaniu DVST oraz w różnicowaniu jej potencjalnych powikłań. Opis przypadku. 38-letnia pacjentka została przyjęta do kliniki neurologii z powodu silnego bólu głowy z następczą utratą przytomności. Przy przyjęciu wykonano przeglądową tomografi ę komputerową (TK) głowy. Uzyskane obrazy oceniono jako prawidłowe. W 6. dobie hospitalizacji ze względu na nagłe pogorszenie stanu klinicznego oraz podwyższone wartości D-dimerów przeprowadzono jednofazowe badanie metodą rezonansu magnetycznego (magnetic resonance imaging – MRI). Stwierdzono poszerzenie zatoki strzałkowej górnej oraz obecność skrzepliny na odcinku około 55 mm. Ponadto w sekwencji FLAIR oraz T2-zależnej stwierdzonoobszary patologiczne w zakręcie zaśrodkowym. W związku z podejrzeniem wystąpienia zawału żylnego przeprowadzono sekwencję SWI, co pozwoliło na jego wykluczenie. Ustalono rozpoznanie przekrwienia żylnego. Wnioski. Analiza obrazu w sekwencji SWI pozwoliła na jednoznaczne wykluczenie udaru krwotocznego i umożliwiła kontynuowanie terapii przeciwzakrzepowej.

scholarly journals Dural Venous Sinus Thrombosis: A Case Report

2021 ◽  
Vol 59 (244) ◽  
pp. 1316-1319
Author(s):  
Dhiraj Chaurasia ◽  
Bikash Yadav ◽  
Krishna Dhungana
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Sinus Thrombosis ◽  
Magnetic Resonance Venography ◽  
Venous Sinus ◽  
Neurological Deficits ◽  
Resonance Imaging ◽  
Venous Sinus Thrombosis ◽  
Dural Venous Sinus ◽  
Dural Venous Sinus Thrombosis

Dural Venous Sinus Thrombosis is the formation of blood clot within the cerebral sinus. It is very rare case with varying clinical presentation. It has non-specific signs and symptoms ranging from headache, papilledema, seizures, focal neurological deficits and mental state changes which is caused by genetic and acquired prothrombotic states, infections, inflammatory disease and trauma. Magnetic Resonance Imaging with Magnetic Resonance Venography is the specific imaging technique for the diagnosis. We have described a case of a patient who presented with headache over the temporal and occipital region and was disoriented. The Computed Tomography, Magnetic Resonance Imaging, Magnetic Resonance Venography report revealed presence of thrombus in the transverse and sigmoid sinus with hemorrhagic infarcts. He was then treated with anticoagulants Low Molecular Weight Heparin which was further substituted by Warfarin.

Cerebral venous sinus thrombosis

2014 ◽  
Vol 30 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Marcin Hartel ◽  
Ewa Kluczewska ◽  
Eliza Gancarczyk-Urlik ◽  
Krystyna Pierzchała ◽  
Karolina Bień ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Early Stage ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Resonance Imaging ◽  
Venous Sinus Thrombosis ◽  
Magnetic Resonance Imaging Mri

Diagnostic imaging in cerebral venous sinus thrombosis poses difficulties due to the relatively rare incidence of this pathology and its usually inconclusive clinical and radiological symptoms. The preliminary examination is usually performed using computed tomography, whereas magnetic resonance imaging (MRI) provides better visualisation of the lesion. Computed tomography and magnetic resonance imaging angiography enable the characterisation of the blood flow in the pathologically affected vessels in more detail. Familiarity with the anatomic variations of the venous system and with the advantages and limitations of computed tomography/magnetic resonance imaging enables faster diagnosis of the pathology. This is significant for treatment, which, in many cases, can be efficient only if introduced at a sufficiently early stage.

Driving Is a Headache

2016 ◽  
Author(s):  
Ji Y. Chong ◽  
Michael P. Lerario
Keyword(s):  
Magnetic Resonance ◽  
Venous Thrombosis ◽  
Sinus Thrombosis ◽  
Magnetic Resonance Venography ◽  
Venous Sinus ◽  
Prothrombotic State ◽  
Venous Sinus Thrombosis ◽  
Stroke Diagnosis ◽  
Dural Venous Sinus ◽  
Dural Venous Sinus Thrombosis

Headache and hemorrhagic infarcts in patients who are hypercoagulable (including pregnancy and puerperium) should prompt an evaluation for dural venous sinus thrombosis. Intracranial venous thrombosis is a rare cause of stroke. Diagnosis is made with venous imaging such as magnetic resonance venography. Investigation for underlying prothrombotic state is needed. Treatment is typically with anticoagulation, despite hemorrhage on imaging.

scholarly journals Spontaneous intracranial hypotension and its complications

2018 ◽  
Vol 76 (8) ◽  
pp. 507-511 ◽  
Author(s):  
Marília Maria Vasconcelos Girão ◽  
Rachid Marwan Pinheiro Sousa ◽  
Mayani Costa Ribeiro ◽  
Tânia Aparecida Marchiori de Oliveira Cardoso ◽  
Marcondes Cavalcante França Júnior ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Intracranial Hypotension ◽  
Sinus Thrombosis ◽  
Spontaneous Intracranial Hypotension ◽  
Venous Sinus ◽  
Mri Findings ◽  
Venous Sinus Thrombosis ◽  
Dural Venous Sinus ◽  
Magnetic Resonance Imaging Mri ◽  
Dural Venous Sinus Thrombosis

ABSTRACT Spontaneous intracranial hypotension (SIH) is a syndrome that was unknown until the advent of magnetic resonance imaging (MRI). It is a cause of orthostatic headache, which remains underdiagnosed and, rarely, can result in several complications including dural venous sinus thrombosis, subdural hematoma and subarachnoid hemorrhage. Some of these complications are potentially life-threatening and should be recognized promptly, mainly by imaging studies. We reviewed the MRI of nine patients with SIH and describe the complications observed in three of these patients. Two of them had subdural hematoma and one had a dural venous sinus thrombosis detected by computed tomography and MRI. We concluded that MRI findings are of great importance in the diagnosis of SIH and its complications, which often influence the clinical-surgical treatment of the patient.

Subarachnoid Hemorrhage Following Chronic Dural Venous Sinus Thrombosis

Angiology ◽  
2007 ◽  
Vol 58 (4) ◽  
pp. 498-501 ◽  
Author(s):  
Sunil Pradhan ◽  
Ramakant Yadav ◽  
Himanshu Diwakar ◽  
Rajendra V. Phadke
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Sinus Thrombosis ◽  
Venous Sinus ◽  
Venous Sinus Thrombosis ◽  
Dural Venous Sinus ◽  
Dural Venous Sinus Thrombosis
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