Atormac
Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 1345  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
 Search
 
  
 Resource Links
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (1,346 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this Article
   References
   Article Figures

 Article Access Statistics
    Viewed551    
    Printed1    
    Emailed0    
    PDF Downloaded11    
    Comments [Add]    

Recommend this journal

 


 
Table of Contents    
NEUROIMAGES
Year : 2019  |  Volume : 67  |  Issue : 1  |  Page : 324-325

Vein of Labbe territory hemorrhagic infarction- a distinct neurosurgical entity


Department of Neurosurgery, Nobel Teaching Hospital, Biratnagar, Nepal

Date of Web Publication7-Mar-2019

Correspondence Address:
Dr. Sunil Munakomi
Department of Neurosurgery, Nobel Teaching Hospital, Biratnagar
Nepal
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.253580

Rights and Permissions



How to cite this article:
Munakomi S. Vein of Labbe territory hemorrhagic infarction- a distinct neurosurgical entity. Neurol India 2019;67:324-5

How to cite this URL:
Munakomi S. Vein of Labbe territory hemorrhagic infarction- a distinct neurosurgical entity. Neurol India [serial online] 2019 [cited 2019 Mar 19];67:324-5. Available from: http://www.neurologyindia.com/text.asp?2019/67/1/324/253580




A 55-year old chronic alcoholic male patient presented to our emergency following sudden onset of altered sensorium and slurring of speech since last 6 hours. Neurological examination revealed his Glasgow coma scale (GCS) of E2V3M5 with slight pupillary asymmetry and right-sided hemiparesis. Urgent magnetic resonance imaging (MRI) of the brain with different sequences including perfusion mode scan along with MR venography revealed features highly suggestive of vein of Labbe territory hemorrhagic infarction following transverse sinus thrombosis [Figure 1] and [Figure 2]. The patient was taken up for surgical intervention following further neurological deterioration.
Figure 1: MRI sequences revealing features of vein of Labbe territory hemorrhagic infarction

Click here to view
Figure 2: MR venography with perfusion mode scan depicting features of vein of Labbe territory infarction

Click here to view


Vein of Labbe territory hemorrhagic infarction is a distinct neurosurgical entity owing to its high predisposition for an early uncal herniation with subsequent neurological deterioration.[1],[2],[3] Hence, there is an urgent need for a stringent monitoring of the patients and of early surgical intervention with application of a careful management algorithm for subsequent anticoagulation therapy.

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.
Munakomi S. Traumatic vein of Labbe hemorrhagic infarction—clinical profile and outcome analysis. Int J Med Sci Public Health 2016;5:252-5.  Back to cited text no. 1
    
2.
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.  Back to cited text no. 2
[PUBMED]  [Full text]  
3.
Dash D, Prasad K, Joseph L. Cerebral venous thrombosis: An Indian perspective. Neurol India 2015;63:318-28.  Back to cited text no. 3
[PUBMED]  [Full text]  


    Figures

  [Figure 1], [Figure 2]



 

Top
Print this article  Email this article
   
Online since 20th March '04
Published by Wolters Kluwer - Medknow