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J Korean Soc Emerg Med > Volume 15(2); 2004 > Article
Journal of The Korean Society of Emergency Medicine 2004;15(2): 125-127.
Cerebral Venous Sinus Thrombosis: A Case Report
Yeon Young Kyong, Byung Hak So, Mi Jin Lee, Won Jae Lee, Se Kyung Kim
Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. sohak@catholic.ac.kr
ABSTRACT
Thrombosis of venous channels in the brain is not a common cause of cerebral infarction relative to arterial disease but is an important consideration because of its variable clinical features and potential morbidity. It is very often unrecognized at initial presentation. The diagnostic modality is brain imaging with magnetic resonance venography. An empty-delta sign appears on a contrast CT scan as enhancement of the collateral vein in the superior sagittal sinus wall surrounding a nonenhanced thrombus in the sinus. However, the sign is frequently absent. Heparin should be considered in the management of cerebral venous sinus thrombosis (CVST). We report a case of CVST in a 59-year-old woman that presented initially as a headache and was diagnosed after several visits to clinics.
Key words: Sinus thrombosis, Intracranial
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