Cerebral Venous Thrombosis: NCCT
History:
A 32 yr female c/o sudden headache followed by loss of consciousness. Post partum status
Findings:
- Multiple ill-defined hypodense lesions are seen in the brain parenchyma bilaterally
- Not confined to single arterial teritory
- Most of the lesions show hemorrhagic transformation
- Mild surrounding edema is seen
- Hypderdense superior saggital sinus - thrombosis
The findings are typical of Hemorrhagic venous infarcts
Diagnosis:
Hemorrhagic venous infarcts
Extra Edge
Etiology
Genetic prothrombotic conditions, dehydration, trauma, brain surgery, post partum state, OC pills, mastoiditis
How to differentiate arterial from venous infarcts?
- Arterial infarcts are usually unilateral, few in no and confined to one arterial territory. Hemorrhagic transformation may occur in subacute stage. Arterial occlusion/ thrombosis
- Venous infarcts are multiple, bilateral and non territorial. Hemorrhage frequent. Venous occlusion/ thrombosis
Reviewed by Sumer Sethi
on
Saturday, February 19, 2022
Rating:
Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has also been an invited faculty member at various conferences, including Teleradiology in IRIA 2008 and 2011, Hospital Build Middle East, Congress of the Brain Tumor Radiology in Neuro-oncology Society. Dr. Sethi is Editor-in-Chief of Internet Journal of Radiology. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals.
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