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Imaging of Cerebral Venous and Sinus Thrombosis

Mohammad Saadatnia

Early   and correct diagnosis of cerebral venous and sinus thrombosis (CVST) is necessary for prompt management of this disorder. Neuro-imaging is a crucial part of diagnosis of CVST.  I reviewed the findings of non-enhanced computerized tomography (CT), Contrast enhanced CT, CT venography (CTV), different techniques of magnetic resonance imaging (MRI), MR venography, and digital subtraction angiography. I also reviewed the potential pitfalls in image interpretation.

Cerebral venous; Sinus thrombosis; Computerized tomography(CT); Magnetic resonance imaging (MRI).

Saadatnia M, Fatehi F, Basiri K, Mousavi SA, Mehr GK. Cerebral venous sinus thrombosis risk factors. International Journal of Stroke. 2009 ;4(2):111-23.

Saadatnia M, Tajmirriahi M. Hormonal contraceptives as a risk factor for cerebral venous and sinus thrombosis. Acta neurologica scandinavica. 2007 ;115(5):295-300.

Poon CS, Chang JK, Swarnkar A, Johnson MH, Wasenko J. Radiologic diagnosis of cerebral venous thrombosis: pictorial review. American Journal of Roentgenology. 2007 ;189(6_supplement):S64-75.

Ozsvath RR, Casey SO, Lustrin ES, Alberico RA, Hassankhani A, Patel M. Cerebral venography: comparison of CT and MR projection venography. AJR. American journal of roentgenology. 1997 ;169(6):1699-707.

Osborn AG, Salzman KL, Katzman G, Provenzale J, Castillo M, Hedlund G, et al. Diagnostic Imaging: Brain. 2nd edition. 2009; I (4): 96-107.

Rizzo L, Crasto SG, Rudà R, Gallo G, Tola E, Garabello D, et al. Cerebral venous thrombosis: role of CT, MRI and MRA in the emergency setting. La radiologia medica. 2010 ;115(2):313-25.

Provenzale JM, Joseph GJ, Barboriak DP. Dural sinus thrombosis: findings on CT and MR imaging and diagnostic pitfalls. AJR. American journal of roentgenology. 1998;170(3):777-83.

Hinman JM, Provenzale JM. Hypointense thrombus on T2-weighted MR imaging: a potential pitfall in the diagnosis of dural sinus thrombosis. European journal of radiology. 2002 ;41(2):147-52.

Lövblad KO, Schneider J, Bassetti C, El-Koussy M, Guzman R, Heid O, et al. Fast contrast-enhanced MR whole-brain venography. Neuroradiology. 2002 ;44(8):681-8.

Ayanzen RH, Bird CR, Keller PJ, McCully FJ, Theobald MR, Heiserman JE. Cerebral MR venography: normal anatomy and potential diagnostic pitfalls. American Journal of Neuroradiology. 2000 ;21(1):74-8.

Sarma D, Farb RI, Mikulis DJ. Reversal of restricted diffusion in cerebral venous thrombosis: case report. Neuroradiology. 2004 ;46(2):118-21.

Favrole P, Guichard JP, Crassard I, Bousser MG, Chabriat H. Diffusion-weighted imaging of intravascular clots in cerebral venous thrombosis. Stroke. 2004 ;35(1):99-103.

Keller E, Flacke S, Urbach H, Schild HH. Diffusion-and perfusion-weighted magnetic resonance imaging in deep cerebral venous thrombosis. Stroke. 1999 ;30(5):1144-6.

Lövblad KO, Bassetti C, Schneider J, Ozdoba C, Remonda L, Schroth G. Diffusion-weighted MRI suggests the coexistence of cytotoxic and vasogenic oedema in a case of deep cerebral venous thrombosis. Neuroradiology. 2000 ;42(10):728-31.

Kawaguchi T, Kawano T, Kaneko Y, Ooasa T, Tsutsumi M, Ogasawara S. Classification of venous ischaemia with MRI. Journal of Clinical Neuroscience. 2001 ;8(4):82-8.

Leach JL, Jones BV, Tomsick TA, Stewart CA, Balko MG. Normal appearance of arachnoid granulations on contrast-enhanced CT and MR of the brain: differentiation from dural sinus disease. American journal of neuroradiology. 1996;17(8):1523-32.

Chiewvit P, Piyapittayanan S, Poungvarin N. Cerebral venous thrombosis: diagnosis dilemma. Neurology international. 2011 ;3(3):13.

Lafitte F, Boukobza M, Guichard JP, Reizine D, Woimant F, Merland JJ. Deep cerebral venous thrombosis: imaging in eight cases. Neuroradiology. 1999 ;41(6):410-8.

Yang Q, Duan J, Fan Z, Qu X, Xie Y, Nguyen C, et al. Early Detection and Quantification of Cerebral Venous Thrombosis by Magnetic Resonance Black-Blood Thrombus Imaging. Stroke. 2015 :STROKEAHA-115.


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