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RT Journal Article
SR Electronic
T1 Subarachnoid Hemorrhage as the Initial Presentation of Dural Sinus Thrombosis
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 614
OP 617
VO 26
IS 3
A1 Oppenheim, Catherine
A1 Domigo, Valérie
A1 Gauvrit, Jean-Yves
A1 Lamy, Catherine
A1 Mackowiak-Cordoliani, Marie-Anne
A1 Pruvo, Jean-Pierre
A1 Méder, Jean-François
YR 2005
UL http://www.ajnr.org/content/26/3/614.abstract
AB Summary: Cerebral venous thrombosis (CVT) can be difficult to diagnose because of its wide spectrum of clinical manifestations. Its diagnosis may be further complicated when patients initially present with acute subarachnoid hemorrhage (SAH). We report on four patients with SAH revealing a CVT and discuss the role of imaging for diagnostic and pretherapeutic workup. In three women and one man presenting with severe headaches, images initially suggested SAH with no associated parenchymal bleeding. In all patients, SAH involved the sulci of the convexity and spared the basal cisterns. Digital subtracted angiography showed occlusion of intracranial venous sinuses but did not reveal any other cause of SAH. All patients improved with anticoagulant therapy. Risk factors for CVT and SAH, namely, head trauma and oral contraception, were identified in two patients. These cases highlight the fact SAH may reveal a CVT, which should be considered in the diagnostic workup of SAH, especially when the basal cisterns are not involved.