Deep cerebral vein thrombosis

Thrombosis of deep cerebral veins The clinical presentation of thrombosis of the deep cerebral venous system are severe dysfunction of the diencephalon, reflected by coma and disturbances of eye movements and pupillary reflexes. Usually this results in a poor outcome. However, partial syndromes without a decrease in the level of consciousness or brainstem signs exist, which may lead to initial misdiagnoses. Deep cerebral venous system thrombosis is an underdiagnosed condition when symptoms are mild and should be suspected if the patient is a young woman, if the lesions are within the basal ganglia or thalamus and especially if they are bilateral. Above is  images of a patient with deep cerebral vein thrombosis. Notice the bilateral infarctions in the basal ganglia. Continue.

Deep cerebral vein thrombosis

There is absence of flow void in the internal cerebral veins, sinus rectus and right transverse sinus (blue arrows). On the MRA the right transverse sinus is not visualized.