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Table of Contents    
NEUROIMAGES
Year : 2017  |  Volume : 65  |  Issue : 6  |  Page : 1442-1443

Intraventricular vein thrombosis in a patient with cerebral venous thrombosis


1 Servicio de Neurología. Hospital Civil de Guadalajara “Fray Antonio Alcalde”; Instituto de Neurociencias Traslacionales, Departamento de Neurociencias. Centro Universitario de Ciencias de la Salud. Universidad de Guadalajara, Guadalajara, Jalisco, México
2 Servicio de Neurología. Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara, Jalisco, México
3 Servicio de Neurología, Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubiran”, Ciudad de , Guadalajara, Jalisco, México
4 Servicio de Radiología. Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara, Jalisco, México

Date of Web Publication10-Nov-2017

Correspondence Address:
José Luiz Ruiz-Sandoval
Servicio de Neurología, Hospital Civil de Guadalajara “Fray Antonio Alcaldeh, Calle: Hospital 278, Guadalajara, Jalisco
México
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.217938

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How to cite this article:
Ruiz-Sandoval JL, Parada-Garza JD, Chiquete E, Marian-Magaña R, Figueroa-Sánchez GM. Intraventricular vein thrombosis in a patient with cerebral venous thrombosis. Neurol India 2017;65:1442-3

How to cite this URL:
Ruiz-Sandoval JL, Parada-Garza JD, Chiquete E, Marian-Magaña R, Figueroa-Sánchez GM. Intraventricular vein thrombosis in a patient with cerebral venous thrombosis. Neurol India [serial online] 2017 [cited 2017 Nov 21];65:1442-3. Available from: http://www.neurologyindia.com/text.asp?2017/65/6/1442/217938


A 35-year old female patient in her early puerperium presented with subacute confusional state and benign intracranial hypertension syndrome. Computed tomography (CT) scan of the head showed sulcal effacement and an empty delta sign without parenchymal lesions. The conventional magnetic resonance imaging (MRI) demonstrated cerebral venous thrombosis (CVT) of the superficial and deep venous systems, along with an abnormal finding at the right ventricular trigone suggestive of intraventricular choroidal venous thrombosis [Figure 1]a,[Figure 1]b,[Figure 1]c,[Figure 1]d,[Figure 1]e,[Figure 1]f. On MR angiography and venography, there was no evidence of tangles of blood vessels, flow voids signals, or hemosiderin compatible with brain arteriovenous malformation. The patient was placed on anticoagulants and discharged after 10 days later with a mild persisting headache. We consider that the involvement of the intraventricular veins was due to the widespread deep venous system thrombosis.
Figure 1: (a) Sagittal T1-weighted MRI depicting superficial and deep cerebral venous thrombosis. (b-d) Axial T1-weighted and FLAIR MRI with hyperintense signal secondary to enlarged veins and ventricular wall edema in the right occipital horn. (e and f) Sagittal T1-weighted MRI and magnified image compatible with thrombosis of the medial and lateral atrial veins

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CVT is an uncommon cause of stroke with varied clinical presentations, predisposing factors, and image findings. Etiological factors can be acquired or genetic. Pregnancy and puerperium are predisposing factors for CVT, and most events occur during the third trimester and 6 weeks after delivery.[1],[2] Here, we describe an uncommon radiological presentation of CVT which could also be considered with the wide spectrum of imaging findings of this entity.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Kamel H, Navi BB, Sriram N, Hovsepian DA, Devereux RB, Elkind MS. Risk of a thrombotic event after the 6-week ostpartum period. N Engl J Med 2014;370:1307-15.  Back to cited text no. 1
    
2.
Dash D, Prasad K, Joseph L. Cerebral venous thrombosis: An Indian perspective. Neurol India 2015;63:318.  Back to cited text no. 2
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