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

J Neurointerv Surg. 2016 Feb;8(2):e6. doi: 10.1136/neurintsurg-2014-011447.rep. Epub 2015 Feb 17.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cranial Sinuses / diagnostic imaging*
  • Diffusion Magnetic Resonance Imaging / methods*
  • Endovascular Procedures / methods
  • Humans
  • Perfusion Imaging / methods*
  • Sinus Thrombosis, Intracranial / diagnostic imaging*
  • Sinus Thrombosis, Intracranial / surgery
  • Tomography, X-Ray Computed / methods*