2.Thrombosis of the Superior Sagittal Sinus in Behcet's Disease With Vascular and Enteric Involvements.
Dong Woo LEE ; Moon Kyu LEE ; Joo Hyun SEO ; Bosuk PARK ; Soochul PARK
Journal of the Korean Neurological Association 2009;27(4):401-404
We report superior sagittal sinus thrombosis as a central nervous system presentation of Behcet's disease in a patient with peripheral vascular and enteric involvement. The main symptoms were headache and horizontal diplopia due to intracranial hypertension. T1-weighted MRI with gadolinium enhancement revealed a similar pattern of the "empty delta sign" that is usually seen on brain CT. A magnetic resonance venogram revealed filling defects resulting from the thrombosis. These features are helpful for the noninvasive diagnosis of sagittal sinus thrombosis.
Brain
;
Central Nervous System
;
Diplopia
;
Gadolinium
;
Headache
;
Humans
;
Intracranial Hypertension
;
Magnetic Resonance Spectroscopy
;
Sagittal Sinus Thrombosis
;
Superior Sagittal Sinus
;
Thrombosis
3.Treatment of the Superior Sagittal Sinus Thrombosis with the Mechanical Thrombectomy Using Stent-Retriever Device.
Hoon KIM ; Seong Rim KIM ; Ik Seong PARK ; Young Woo KIM
Journal of Korean Neurosurgical Society 2016;59(5):518-520
Cerebral venous sinus thrombosisis an uncommon entity and its clinical presentations are highly variable. We present the case of superior sagittal sinus thrombosis. Although it was medical refractory, successfully treated with mechanical thrombectomy using the Solitaire FR device. A 27-year-old man who presented with venous infarction accompanied by petechial hemorrhage secondary to the superior sagittal sinus (SSS) thrombosis. Due to rapid deterioration despite of anticoagulation therapy, the patient was taken for endovascular treatment. We deployed the Solitaire FR device (4×20 mm) in the anterior portion of the thrombosed SSS, and it was left for ten minutes before the retraction. Thus, we removed a small amount of thrombus. But the sinus remained occluded. We therefore performed the thrombectomy using the same methods using the Solitaire FR (6×20 mm). Thus, we were successful in removing larger clots. Our case highlights not only that the mechanical thrombectomy using the Solitaire FR is effective in achieving revascularization both rapidly and efficiently available, but also that it might be another option in patients with cerebral venous sinus thrombosis who concurrently had rapid clinical deterioration with devastating consequences.
Adult
;
Hemorrhage
;
Humans
;
Infarction
;
Sinus Thrombosis, Intracranial
;
Superior Sagittal Sinus*
;
Thrombectomy*
;
Thrombosis*
4.Cerebral Venous Thrombosis Treated with the Penumbra System(TM) and Various Neurointervention.
Moon Hee CHOI ; Jin Soo LEE ; Sun Wook LEE ; Ji Man HONG ; Sun Yong KIM
Journal of the Korean Neurological Association 2012;30(1):49-53
A 33-year-old male was admitted with severe headache lasting 3 days. He did not have a focal neurologic deficit, but had a high intracranial pressure of 512 mmH2O. Cerebral angiography revealed venous sinus thrombosis that mainly involved the superior sagittal and right transverse sinuses. His headache remained severe after intravenous heparin infusion, and so interventional procedures were performed. Mechanical aspiration with the Penumbra system(TM) and other interventional procedures reopened the outflow of the superior sagittal sinus and effectively ameliorated this patient's headache.
Adult
;
Cerebral Angiography
;
Headache
;
Heparin
;
Humans
;
Intracranial Pressure
;
Male
;
Neurologic Manifestations
;
Sagittal Sinus Thrombosis
;
Sinus Thrombosis, Intracranial
;
Suction
;
Superior Sagittal Sinus
;
Thrombectomy
;
Thrombolytic Therapy
;
Transverse Sinuses
;
Venous Thrombosis
5.Cerebral Venous Sinus Thrombosis in an Adolescent Presenting with Headache.
Ji Sung KIM ; Jae Yong CHOI ; Hyun Seok SEO ; Cheol Am KIM ; Kyun Woo LEE ; Byeong Hee SON
Journal of the Korean Child Neurology Society 2012;20(4):244-249
Cerebral Venous Sinus Thrombosis (CVST) in children is rare and its cause is multifactorial. The clinical manifestations of CVST vary and may cause long-term neurological sequelae and even death on rare occasion. In this case, a 15 year old boy presented with severe headache and vomiting for 1 day. Brain MRI with venography revealed multiple lesions of CVST in superior sagittal sinus and the left transverse sinus. Anticoagulation therapy was performed for 3 months, which led to the complete resolution in superior sagittal sinus and partial resolution in left transverse sinus.
Adolescent
;
Brain
;
Child
;
Headache
;
Humans
;
Phlebography
;
Sinus Thrombosis, Intracranial
;
Superior Sagittal Sinus
;
Vomiting
6.Anatomical Variations of Cerebral MR Venography: Is Gender Matter?.
Gourav GOYAL ; Rambir SINGH ; Nikhil BANSAL ; Vimal Kumar PALIWAL
Neurointervention 2016;11(2):92-98
PURPOSE: Knowledge of variations in the cerebral dural venous sinus anatomy seen on magnetic resonance (MR) venography is essential to avoid over-diagnosis of cerebral venous sinus thrombosis (CVST). Very limited data is available on gender difference of the cerebral dural venous sinus anatomy variations. MATERIALS AND METHODS: A retrospective study was conducted to study the normal anatomy of the intracranial venous system and its normal variation, as depicted by 3D MR venography, in normal adults and any gender-related differences. RESULTS: A total of 1654 patients (582 men, 1072 women, age range 19 to 86 years, mean age: 37.98±13.83 years) were included in the study. Most common indication for MR venography was headache (75.4%). Hypoplastic left transverse sinus was the most common anatomical variation in 352 (21.3%) patients. Left transverse sinus was hypoplastic in more commonly in male in comparison to female (24.9% versus 19.3%, p = 0.009). Most common variation of superior sagittal sinus (SSS) was atresia of anterior one third SSS (15, 0.9%). Except hypoplastic left transverse sinus, rest of anatomical variations of the transverse and other sinuses were not significantly differ among both genders. CONCLUSION: Hypoplastic left transverse sinus is the most common anatomical variation and more common in male compared to female in the present study. Other anatomical variations of dural venous sinuses are not significantly differ among both genders.
Adult
;
Female
;
Headache
;
Humans
;
Male
;
Phlebography*
;
Retrospective Studies
;
Sinus Thrombosis, Intracranial
;
Superior Sagittal Sinus
7.A Case of Eosinophilic Panniculitis Associated With Superior Sagittal Sinus Thrombosis.
Seung Lee SEO ; Yun Jin KIM ; Yeon Soon LIM ; Hae Young CHOI ; Ki Bum MYUNG
Annals of Dermatology 1999;11(1):37-40
Eosinophilic panniculitis is characterized by a prominent infiltration of numerous eosinophils in subcutaneous fat, and has been identified in patients with a variety of associated clinical conditions. A case of eosinophilic panniculitis in a 20-year-old woman with a history of atopic dermatitis is reported. She later developed superior sagittal sinus thrombosis, and we stress the importance of systemic evaluations in patients with eosinophilic panniculitis.
Dermatitis, Atopic
;
Eosinophils*
;
Female
;
Humans
;
Panniculitis*
;
Subcutaneous Fat
;
Superior Sagittal Sinus*
;
Thrombosis*
;
Young Adult
8.A Case of Cerebral Venous Sinus Thrombosis Treated with Local Thrombolysis.
Byung Kuk NAM ; Hyo Kyung KIM ; Jae Chul HWANG
Journal of the Korean Neurological Association 2002;20(6):702-706
We present a case of extensive thrombosis in the jugular vein and sigmoid, transverse, superior sagittal sinuses with partial deep venous thrombosis. The patient had acute severe headache but had neither focal neurological deficit nor consciousness change. Emergency endovascular thrombolysis through transfemoral approach was performed with successful restoration of venous drainage. There was no hemorrhagic complication. Several days later, the patient had a focal seizure attack due to focal venous infarction despite of continuous systemic anticoagulation therapy.
Colon, Sigmoid
;
Consciousness
;
Drainage
;
Emergencies
;
Headache
;
Humans
;
Infarction
;
Jugular Veins
;
Seizures
;
Sinus Thrombosis, Intracranial*
;
Superior Sagittal Sinus
;
Thrombosis
;
Urokinase-Type Plasminogen Activator
;
Venous Thrombosis
9.Cerebral Venous Thrombosis Presenting as Isolated Subarachnoid Hemorrhage.
Chang Gi HONG ; Jun Young CHOI ; Joung Ho RHA ; Hee Kwon PARK
Korean Journal of Stroke 2012;14(2):74-77
Cerebral venous thrombosis (CVT) rarely presents with cortical subarachnoid hemorrhage. A 54 year-old woman complained of intractable headache. Brain MR scan showed subarachnoid hemorrhage in the right parietal sulci on Fluid-Attenuated Inversion Recovery image. The venous phase of digital subtraction angiography demonstrated the thrombus and venous congestion in superior sagittal sinus and vein of Trolad. After 3 days of anticoagulation therapy, the symptoms disappeared.
Angiography, Digital Subtraction
;
Brain
;
Female
;
Headache Disorders
;
Humans
;
Hyperemia
;
Subarachnoid Hemorrhage
;
Superior Sagittal Sinus
;
Thrombosis
;
Veins
;
Venous Thrombosis
10.Cerebral Venous Thrombosis Occurred After Cyclosporine Administration.
Ju Young DO ; Suk Yun KANG ; Kyoug Woo KIM ; Hak Ju OH ; Miri KANG ; Seok Beom KWON ; Sung Hee HWANG
Journal of the Korean Neurological Association 2013;31(2):111-114
Cerebral venous thrombosis (CVT) is quite rare and underlying risk factors are diverse. We describe that 60-year-old man developed CVT after use of cyclosporine. He had suffered from leukocytoclastic vasculitis and urticarial vasculitis. Initial MR venogram revealed thrombosis in superior sagittal sinus, right transverse sinus and sigmoid sinus with multiple cortical and deep collateral veins. Anticoagulation was started and maintained for one year, then follow up MR venogram was normal. We suggest that cyclosporine might increase a risk of CVT.
Colon, Sigmoid
;
Cyclosporine
;
Follow-Up Studies
;
Risk Factors
;
Superior Sagittal Sinus
;
Thrombosis
;
Vasculitis
;
Vasculitis, Leukocytoclastic, Cutaneous
;
Veins
;
Venous Thrombosis