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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


Cerebral Venous Thrombosis: NCCT Reviewed by Sumer Sethi on Saturday, February 19, 2022 Rating: 5

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