Bianca Mazini1, Christophe Bonvin2, Philippe Gailloud3, Diego San Millán4. 1. Service of Diagnostic and intervention Radiology, Hospital of Sion, Centre Hospitalier du Valais Romand, Switzerland. 2. Neurology Service, Hospital of Sion, Centre Hospitalier du Valais Romand, Switzerland. 3. Division of Interventional Neuroradiology, The Johns Hopkins Hospital, Baltimore, MD, USA. 4. Unit of Neuroradiology, Service of Diagnostic and Intervention Radiology, Hospital of Sion, Centre Hospitalier du Valais Romand, Switzerland.
Abstract
BACKGROUND: Isolated cerebral deep medullary vein thrombosis has been described in the setting of hemorrhagic periventricular white matter lesions in preterm and full-term neonates, but to the best of our knowledge, has never been reported in adults. We present two cases of isolated thrombosis of the superior striate vein occurring in adults that could be analogous to deep medullary vein thrombosis in that they involve deep cerebral veins only without thrombosis of the subependymal or internal cerebral veins. CASE DESCRIPTION: Two women aged 20 and 39, presented with transient neurological deficits and headache. Diagnosis of isolated superior striate vein thrombosis was based on CT and MRI findings with long term imaging follow-up. Both patients evolved favorably under conservative treatment without anticoagulation. Thrombophilia workup was negative and both patients were active smokers under oral contraception. CONCLUSION: Isolated superior striate vein thrombosis is a rare form of intracranial venous thrombosis and should be considered in the differential diagnosis of stroke-like episodes with headache in adults. Isolated superior striate vein thrombosis presents with characteristic imaging features on CT and MRI.
BACKGROUND: Isolated cerebral deep medullary vein thrombosis has been described in the setting of hemorrhagic periventricular white matter lesions in preterm and full-term neonates, but to the best of our knowledge, has never been reported in adults. We present two cases of isolated thrombosis of the superior striate vein occurring in adults that could be analogous to deep medullary vein thrombosis in that they involve deep cerebral veins only without thrombosis of the subependymal or internal cerebral veins. CASE DESCRIPTION: Two women aged 20 and 39, presented with transient neurological deficits and headache. Diagnosis of isolated superior striate vein thrombosis was based on CT and MRI findings with long term imaging follow-up. Both patients evolved favorably under conservative treatment without anticoagulation. Thrombophilia workup was negative and both patients were active smokers under oral contraception. CONCLUSION: Isolated superior striate vein thrombosis is a rare form of intracranial venous thrombosis and should be considered in the differential diagnosis of stroke-like episodes with headache in adults. Isolated superior striate vein thrombosis presents with characteristic imaging features on CT and MRI.
Entities:
Keywords:
Deep medullary veins; SWI; headache; stroke like episode; superior striate veins thrombosis; thunderclap; venous infarction
Authors: S Albayram; S Saip; Z I Hasiloglu; M Teke; E Ceyhan; M Tutuncu; H Selcuk; A Kina; A Siva Journal: AJNR Am J Neuroradiol Date: 2011-04-21 Impact factor: 3.825
Authors: F Arrigoni; C Parazzini; A Righini; C Doneda; L A Ramenghi; G Lista; F Triulzi Journal: AJNR Am J Neuroradiol Date: 2011-09-29 Impact factor: 3.825