Isolated cortical vein thrombosis: case series

Journal of Neurosurgery
Ranjodh SinghApostolos J Tsiouris

Abstract

Isolated cortical vein thrombosis (ICVT) accounts for less than 1% of all cerebral infarctions. ICVT may cause irreversible parenchymal damage, rendering early and accurate diagnosis critical. This case series and literature review presents the clinical and radiological findings in 7 patients with ICVT, and highlights risk factors and imaging modalities that may be most beneficial in rendering an accurate and timely diagnosis. Patients with CT and MRI findings consistent with ICVT examined between January 2011 and June 2014 were included in this retrospective review. Seven patients (5 females, 2 males), ranging in age from 11 months to 34 years, met the inclusion criteria. The most common clinical presentations were headaches (n = 4) and seizures (n = 3). The most common comorbidities noted in these patients were hypercoagulable states (n = 4) and intracranial hypotension (n = 3). Five patients had intraparenchymal involvement. CT suggested the correct diagnosis in 4 patients, and MRI confirmed the diagnosis in all 7 patients. All patients who received anticoagulation therapy (n = 5) experienced complete resolution of their symptoms. The majority of these patients were adult females, consistent with published data. Seizures and...Continue Reading

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Citations

Mar 20, 2020·Neurology India·Neeharika L MathukumalliSubhash Kaul
Apr 7, 2016·Topics in Magnetic Resonance Imaging : TMRI·Chris HeynDaniel M Mandell
Aug 11, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Vivek MurumkarMaya Dattatraya Bhat

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