Hemorrhagic infarction secondary to cerebral venous thrombosis

Publication Date

2019

Journal Title

Interdis Neurosurg

Abstract

© 2019 Cerebral venous thrombosis (CVT) is an uncommon cause of hemorrhagic stroke. A 47-year old woman presented with acute-onset global aphasia and right hemiplegia. Head CT revealed a large left frontoparietal hematoma with significant mass effect. Emergency decompressive hemicraniectomy and hematoma evacuation were thus indicated. Intraoperatively, an occlusive thrombus was identified in the superior anastomotic vein of Trolard, confirming the diagnosis of CVT. While hemorrhagic CVT is not a rare entity, the diagnosis is not usually made intraoperatively. More interestingly, the authors provide intraoperative photographs of the occlusive thrombus in the vein of Trolard, overlying the area of hemorrhage, which they believe are unique and compelling clinical images.

Volume Number

17

Pages

64 - 65

Document Type

Article

Status

Faculty

Facility

School of Medicine

Primary Department

Neurosurgery

Additional Departments

Otolaryngology

DOI

10.1016/j.inat.2019.02.006

For the public and Northwell Health campuses

Share

COinS