IMAGING OF SUPERIOR SAGITTAL SINUS THROMBOSIS: A REVIEW

Authors

  • Kanokporn ORANRATANACHAI Department of Radiology, Faculty of Medicine. Chiang Mai University
  • Wantana PRAPAKORN Department of Radiology, Faculty of Medicine. Chiang Mai University
  • Chate SIVASOMBOON Department of Radiology, Faculty of Medicine. Chiang Mai University

Abstract

Ten cases of superior sagittal sinus thrombosis have been retrospectively reviewed. The focus of this study is on the CT appearance of the superior sagittal sinus thrombosis. The radiological diagnosis of superior sagittal sinus thrombosis in the present study includes either the “empty delta sign” on contrast-enhanced CT or the absence of flow on MR venography or conventional angiography. The pathognomonic empty delta sign was presented in 5 cases (50%). Seven cases developed focal parenchymal lesions, all of which were venous infarct with or without intracerebral hemorrhage at parasagittal frontoparietal region. In case of superior sagittal sinus thrombosis that lacks specific imaging sign, recognition of the pattern of hemorrhagic infarct may suggest the CTdiagnosis of this disorder. MR venography or conventional angiography has also been used to confirm the diagnosis of superior sagittal sinus thrombosis. Among the other common causes of superior sagittal sinus thrombosis, rarely oral amphetamine abuse SEP. - DEC. 1999. Volume V Number II! was reported in one of our cases. Detailed findings will be presented.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

McLean BN. Dural sinus thrombosis. Br J Hosp Med 1991; 45: 226-231

Baunamo FS, Moody DM, Ball MR, et al. Computed cranial tomographic findings in cerebral sinovenous occlusion. J Comput Assist Tomogr 1978;2:281-290

Wendling LR. Intracranial venous sinus thrombosis: diagnosis suggested by computed tomography. Am J Radiol 1978; 130:978-980

Rao KCVG, Knipp HC, Wagner EJ. Computed tomographic findings in cerebral sinus and venous thrombosis. Radiology 1981;140:391-398

Virapongse C, Cazenave C, Quisling R, et al. The empty delta sign: frequency and significance in 76 cases of dural sinus thrombosis. Radiology 1987:162:779-785

Daif A, Awada A, Al-Rajeh S, et al. Cerebral venous thrombosis in adults: a study of 40 cases from Saudi Arabia. Stroke 1995;26:1193-1195

Shinohara Y, Yoshitoshi M, Yoshii F. Appearance and disappearance of empty delta sign in superior sagittal sinus thrombosis. Stroke 1986;17:1282- 1284

Matric H, Anderson D, Brumlik J. Cerebra | vasculitis associated with oral amphetamine overdose. Arch Neurol 1983:40:253-254

Yu JY, Cooper DR, Wellenstein DE, Block B. Cerebral angiitis and intracerebral hemorrhage associated with methamphetamine abuse. J Neurosurg 1983:58:109-111

Harrington H, Heller A, Dawson D, et al. Intracerebral hemorrhage and oral amphetamine. Arch Neurol 1983;40:503-507

Mattle HP, Wentz KU, Edelman RR, et al. Cerebral venography with MR. Radiology 1991;178:453-458

Nadel L, Braun IF, Kraft KA, et al. Intracranial vascular abnormalities: value of MR phase imaging to distinguish thrombus from flowing blood. Am J Radiol 1991; 156:373-380

Atlas SW. Magnetic resonance imaging of the brain and spine. Second edition. Philadelphia, Lippincott-Raven Publishers, 1996;1586-1589

Culebras A, Kase CS, Masdeu JC, et al. Practical guidelines for imaging in stroke. Stroke 1997;28:1480-1497

Downloads

Published

2023-04-11

How to Cite

1.
ORANRATANACHAI K, PRAPAKORN W, SIVASOMBOON C. IMAGING OF SUPERIOR SAGITTAL SINUS THROMBOSIS: A REVIEW. ASEAN J Radiol [Internet]. 2023 Apr. 11 [cited 2024 Dec. 12];5(3):297-304. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/503

Issue

Section

Original Article