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Year : 2019  |  Volume : 67  |  Issue : 1  |  Page : 324--325

Vein of Labbe territory hemorrhagic infarction- a distinct neurosurgical entity

Sunil Munakomi 
 Department of Neurosurgery, Nobel Teaching Hospital, Biratnagar, Nepal

Correspondence Address:
Dr. Sunil Munakomi
Department of Neurosurgery, Nobel Teaching Hospital, Biratnagar
Nepal




How to cite this article:
Munakomi S. Vein of Labbe territory hemorrhagic infarction- a distinct neurosurgical entity.Neurol India 2019;67:324-325


How to cite this URL:
Munakomi S. Vein of Labbe territory hemorrhagic infarction- a distinct neurosurgical entity. Neurol India [serial online] 2019 [cited 2019 Apr 22 ];67:324-325
Available from: http://www.neurologyindia.com/text.asp?2019/67/1/324/253580


Full Text



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}{Figure 2}

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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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

1Munakomi S. Traumatic vein of Labbe hemorrhagic infarction—clinical profile and outcome analysis. Int J Med Sci Public Health 2016;5:252-5.
2Ruiz-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.
3Dash D, Prasad K, Joseph L. Cerebral venous thrombosis: An Indian perspective. Neurol India 2015;63:318-28.