Isolated Cortical Vein Thrombosis with Long Cord Sign.
10.3340/jkns.2015.58.5.476
- Author:
Seung Pil BAN
1
;
Young Seob CHUNG
;
Sung Bae PARK
;
Young Je SON
Author Information
1. Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
- Publication Type:Case Report
- Keywords:
Cortical vein thrombosis;
Cord sign;
Hemorrhagic infarction
- MeSH:
Diagnosis;
Female;
Follow-Up Studies;
Heparin, Low-Molecular-Weight;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Rare Diseases;
Stroke;
Thrombosis*;
Veins*;
Warfarin
- From:Journal of Korean Neurosurgical Society
2015;58(5):476-478
- CountryRepublic of Korea
- Language:English
-
Abstract:
Isolated cortical vein thrombosis (ICVT) is a rare disease, accounting for less than 1% of strokes. A 46-year-old woman presented with progressive left side weakness. Magnetic resonance (MR) imaging with T2*-gradient echo (T2*-GE) sequence showed long cord sign at the right frontal cortex. The patient was treated with low molecular weight heparin, followed by oral warfarin for 6 months. The 3-month follow-up MR imaging showed recanalization of the previously thrombosed cortical vein. She was completely recovered without neurological deficits after 6 months. This provides that MR imaging with T2*-GE sequence can help to diagnosis the ICVT and outcomes of the ICVT are generally favorable.
