Title

Thrombosis in a congenitally bifurcated superior sagittal sinus

UMMS Affiliation

Department of Neurology; Department of Radiology

Publication Date

1991-03-01

Document Type

Article

Subjects

Adult; Brain; Cerebral Infarction; Cesarean Section; Female; Humans; Intracranial Embolism and Thrombosis; Magnetic Resonance Imaging; Parietal Lobe; Pregnancy; Puerperal Disorders; Tomography, X-Ray Computed

Disciplines

Nervous System Diseases | Neurology

Abstract

A 26-year-old woman had a peripartum venous thrombotic stroke involving the right parietal lobe. The initial thrombus was present only in the right channel of a congenitally bifurcated superior sagittal sinus. This diagnosis and subsequent thrombus extension were readily shown by magnetic resonance imaging in contrast to equivocal angiography. A subsequent, prospective review of 100 patients undergoing cranial magnetic resonance imaging showed the presence of similarly bifurcated superior sagittal sinuses in two. The patient stabilized after therapy with intravenous heparin, but switching her medication to oral warfarin sodium was followed by clinical deterioration and propagation of the thrombus, necessitating resumption of intravenous heparin. No coagulopathy was identified.

Source

Stroke. 1991 Mar;22(3):396-400.

Journal/Book/Conference Title

Stroke; a journal of cerebral circulation

Related Resources

Link to article in PubMed

PubMed ID

2003310

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