Reversible changes in diffusion- and perfusion-based imaging in cerebral venous sinus thrombosis

Ning Lin; Andrew K Wong; Lindsay J Lipinski; Maxim Mokin; Adnan H Siddiqui

doi:10.1136/bcr-2014-011447

Reversible changes in diffusion- and perfusion-based imaging in cerebral venous sinus thrombosis

BMJ Case Rep. 2015 Feb 12:2015:bcr2014011447. doi: 10.1136/bcr-2014-011447.

Authors

Ning Lin¹, Andrew K Wong¹, Lindsay J Lipinski¹, Maxim Mokin¹, Adnan H Siddiqui²

Affiliations

¹ Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, USA Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA.
² Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA Departments of Neurosurgery and Radiology, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York Toshiba Stroke and Vascular Research Center, University at Buffalo, State University of New York, USA.

Abstract

Diffusion- and perfusion-based imaging studies are regularly used in patients with ischemic stroke. Cerebral venous sinus thrombosis (CVST) is a rare cause of stroke and is primarily treated by systemic anticoagulation. Endovascular intervention can be considered in cases of failed medical therapy, yet the prognostic value of diffusion- and perfusion-based imaging for CVST has not been clearly established. We present a patient with CVST whose abnormal findings on MRI and CT perfusion images were largely reversed after endovascular treatment.

Keywords: CT perfusion; MRI; Stroke; Vein.

2015 BMJ Publishing Group Ltd.

Publication types

Case Reports

MeSH terms

Adult
Blood Vessel Prosthesis Implantation
Brain / blood supply
Brain / diagnostic imaging
Brain / pathology
Cerebral Angiography / methods*
Cranial Sinuses / diagnostic imaging
Cranial Sinuses / pathology
Diffusion Magnetic Resonance Imaging / methods*
Endovascular Procedures
Follow-Up Studies
Humans
Perfusion Imaging / methods*
Sinus Thrombosis, Intracranial / diagnosis*
Sinus Thrombosis, Intracranial / surgery
Tomography, X-Ray Computed / methods*
Treatment Outcome

Abstract

Publication types

MeSH terms

Grants and funding