Susceptibility-Weighted Magnetic Resonance Imaging Detects Impaired Cerebral Hemodynamics in the Superior Sagittal Sinus Thrombosis : Case Report

Kawabori Masahito; Kuroda Satoshi; Kudo Kohsuke; Terae Satoshi; Kaneda Makoto; Nakayama Naoki; Iwasaki Yoshinobu

Title	en Susceptibility-Weighted Magnetic Resonance Imaging Detects Impaired Cerebral Hemodynamics in the Superior Sagittal Sinus Thrombosis : Case Report
Creator	en Kawabori, Masahito NRID 1000050399870 en Kuroda, Satoshi NRID 1000010301904 en Kudo, Kohsuke NRID 1000010374232 en Terae, Satoshi NRID 1000040240634 en Kaneda, Makoto en Nakayama, Naoki NRID 1000040421961 en Iwasaki, Yoshinobu
Accessrights	open access
Rights	https://creativecommons.org/licenses/by-nc-nd/4.0/ en Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Subject	Other en susceptibility-weighted magnetic resonance imaging Other en superior sagittal sinus thrombosis Other en cerebral hemodynamics NDC 490
Description	Abstract en An 11-year-old female receiving treatment for acute lymphoblastic leukemia presented with superior sagittal sinus (SSS) thrombosis. T1-weighted, T2-weighted, and fluid-attenuated inversion recovery magnetic resonance (MR) imaging, and MR venography showed that the SSS was totally occluded by thrombus. Susceptibility-weighted MR imaging showed hypointense thrombus in the SSS and markedly dilated cortical veins over the bilateral cerebral hemispheres. Two days later, her symptoms had slightly resolved. Iodine-123 N-isopropyl-p-iodoamphetamine single photon emission computed tomography showed marked decrease of cerebral blood flow in the bilateral frontal lobes, indicating that venous congestion had disturbed the cerebral hemodynamics. MR venography showed that the SSS was still mostly occluded, but susceptibility-weighted imaging showed that the dilation of the cortical veins was less marked, suggesting that collateral venous routes had gradually developed. The finding of dilated cortical veins had almost disappeared at 28 days after the onset. Susceptibility-weighted imaging can be used as a non-invasive method to monitor the severity of venous congestion caused by cerebral venous sinus thrombosis.
Publisher	en The Japan Neurosurgical Society
Date	Issued2009-06
Language	eng
Resource Type	journal article
Version Type	VoR
Identifier	HDL http://hdl.handle.net/2115/70774
Relation	isIdenticalTo DOI https://doi.org/10.2176/nmc.49.248
Journal	PISSN 0470-8105 EISSN 1349-8029 en Neurologia medico-chirurgica Volume Number49 Issue Number6 Page Start248 Page End251
File	fulltext E8_49_248.pdf 487.96 KB (application/pdf) Issued2009-06
Oaidate	2023-07-26