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
PubMed ID
2003310
Repository Citation
Hosley, Mark A.; Fisher, Marc; and Lingley, James F., "Thrombosis in a congenitally bifurcated superior sagittal sinus" (1991). Neurology Publications and Presentations. 40.
https://escholarship.umassmed.edu/neuro_pp/40