Document Detail


Subarachnoid hemorrhage as the initial presentation of cerebral venous thrombosis.
MedLine Citation:
PMID:  20190485     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cerebral venous thrombosis presenting as subarachnoid hemorrhage (SAH) is very rare. We present a woman with thrombosis of the superior sagittal, straight, transverse and sigmoid sinuses who presented with SAH in the right temporal sulcus and bilateral cerebellar sulci. Brain perfusion CT demonstrated a delay of the mean transit time and high cerebral blood volume around the right posterior temporal lobe and cerebellum. These findings were compatible with venous congestion and they suggest the possibility that extension of the dural sinus thrombosis into the superficial veins caused localized venous hypertension with dilatation of the thin, fragile-walled cortical veins which eventually ruptured into the subarachnoid space.
Authors:
Yuji Kato; Hidetaka Takeda; Daisuke Furuya; Harumitsu Nagoya; Ichiro Deguchi; Takuya Fukuoka; Norio Tanahashi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-03-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  49     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2010  
Date Detail:
Created Date:  2010-03-01     Completed Date:  2010-05-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  467-70     Citation Subset:  IM    
Affiliation:
Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University. yujik@saitama-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Diagnosis, Differential
Female
Humans
Intracranial Thrombosis / complications*
Middle Aged
Perfusion Imaging
Subarachnoid Hemorrhage / diagnosis*,  etiology*
Tomography, X-Ray Computed
Venous Thrombosis / complications*

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