J Korean Soc Emerg Med.  2004 Apr;15(2):125-127.

Cerebral Venous Sinus Thrombosis: A Case Report

• Kyong YY
• So BH
• Lee MJ
• Lee WJ
• Kim SK

Abstract

Thrombosis of venous channels in the brain is not a common cause of cerebral infarction relative to arterial disease but is an important consideration because of its variable clinical features and potential morbidity. It is very often unrecognized at initial presentation. The diagnostic modality is brain imaging with magnetic resonance venography. An empty-delta sign appears on a contrast CT scan as enhancement of the collateral vein in the superior sagittal sinus wall surrounding a nonenhanced thrombus in the sinus. However, the sign is frequently absent. Heparin should be considered in the management of cerebral venous sinus thrombosis (CVST). We report a case of CVST in a 59-year-old woman that presented initially as a headache and was diagnosed after several visits to clinics.

Keyword

Sinus thrombosis; Intracranial

MeSH Terms

Brain
Cerebral Infarction
Female
Headache
Heparin
Humans
Middle Aged
Neuroimaging
Phlebography
Sinus Thrombosis, Intracranial*
Superior Sagittal Sinus
Thrombosis
Tomography, X-Ray Computed
Veins
Heparin