Junior call case 5
Hemorrhagic venous infarction secondary to venous sinus thrombosis of the transverse sinus.For younger patients with non-specific neurologic symptoms, you should have a higher pre-test suspicion for these etiologies (vs. older patients):
o Venous sinus thrombosis w/ venous infarction
o Vascular malformation (hemorrhagic AVM or cavernous malformation)
o Vasculitis
o Cocaine-induced hypertensive hemorrhage
o Dissection with emboli
o Demyelination
Classic venous infarct distributions:
o Bilateral PARASAGITTAL (superior sagittal sinus)
o TEMPORAL lobe (vein of Labbe)
o Bilateral THALAMI (straight sinus, internal cerebral veins)
Accession: CL0752
Study description: CT HEAD
