Thrombosis in a congenitally bifurcated superior sagittal sinus
Department of Neurology; Department of Radiology
Adult; Brain; Cerebral Infarction; Cesarean Section; Female; Humans; Intracranial Embolism and Thrombosis; Magnetic Resonance Imaging; Parietal Lobe; Pregnancy; Puerperal Disorders; Tomography, X-Ray Computed
Nervous System Diseases | Neurology
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.
Stroke. 1991 Mar;22(3):396-400.
Stroke; a journal of cerebral circulation
Hosley MA, Fisher M, Lingley JF. (1991). Thrombosis in a congenitally bifurcated superior sagittal sinus. Neurology Publications. Retrieved from https://escholarship.umassmed.edu/neuro_pp/40