1naresh
Array ( [urn:ac.highwire.org:guest:identity] => Array ( [runtime-id] => urn:ac.highwire.org:guest:identity [type] => guest [service-id] => ajnr-ac.highwire.org [access-type] => Controlled [privilege] => Array ( [urn:ac.highwire.org:guest:privilege] => Array ( [runtime-id] => urn:ac.highwire.org:guest:privilege [type] => privilege-set [privilege-set] => GUEST ) ) [credentials] => Array ( [method] => guest ) ) ) 1nareshArray ( [urn:ac.highwire.org:guest:identity] => Array ( [runtime-id] => urn:ac.highwire.org:guest:identity [type] => guest [service-id] => ajnr-ac.highwire.org [access-type] => Controlled [privilege] => Array ( [urn:ac.highwire.org:guest:privilege] => Array ( [runtime-id] => urn:ac.highwire.org:guest:privilege [type] => privilege-set [privilege-set] => GUEST ) ) [credentials] => Array ( [method] => guest ) ) )Review of the literature: presentation, diagnostic imaging, and outcome of internal cerebral venous thrombosis
Author Patients (No.) Signs and Symptoms Thrombosed Veins Diagnostic Imaging/Validation Location of Lesions Outcome Johnsen et al 1973 (27) 2 infants V, fever, diarrhea ICV, SS, VG autopsia TT, BG, HT hemorrhage Death V, lethargy ICV, VG, SS CA −TT, hydroceph Residual deficits Yoshii et al 1978 (9) 1 −HA, fever, DC, coma DCV, VG, SS NECT, CA −ventricular dilatation n.a. Forsting et al 1989 (6) 1 HA, BA, DM, HP ICV, VG, SS, RTV NECT, MRI −unilateral, then TT Almost recovery Haley et al 1989 (10) 1 HA, NV, confusion ICV, VG, SS NECT, CA −TT Mnestic deficits DM, amnesia Erbguth et al 1991 (8) 3 A, DC, HP ICV, SS NECT, CA −TT, BG Residual deficit A, DC, hemianopsia ICV, VG, SS, SSS NECT, MRI −TT, hemorrhage Recovery n.a. VG, SS −LT hemorrhage Recovery Bell et al 1994 (1) 3 Confusion DCV, DS MRI, MRA −TT Residual deficits Confusion DCV, DS MRI, MRA −TT, BG Recovery Coma, seizure DCV MRI, MRA, CA −TT, BG Death Crawford et al 1995 (2) 7 −HA, NV; −ICV, VG, SS NECT, MRI, CA −TT, hydroceph Severe disability −HA; NV, DC −ICV, VG, SS, SSS NECT,autopsy n.a. Death −HA; NV, DM −ICV, VG, SS, SSS autopsy n.a. Death −HA, fever, DM −ICV, VG, SS, SSS, TS NECT,MRI,CA −TT Severe disability −HA, NV −ICV, VG, SS MRI, MRA −TT, BG Stable −Seizures −ICV, VG, SS, SSS NECT,MRI,MRA −TT Seizures controlled −HA, NV, DM −ICV, VG, SS, SSS NECT,MRI,MRA −TT, BG Death Wang et al 1995 (29) 1 Confusion, seizure, BA SSS, DCV MRI, CA −TT, BG, hemorrhage n.a. Förderreuther et al 1997 (7) 1 Amnesia DCV, VG, SS NECT, MRI, CA −TT Recovery Gerszten et al 1997 (12) 1 NV, HA, HP, BA ICV, SS, RTS NECT, MRI, MRA −TT, BG, LT hemorrhage Discrete neurol deficit Magni et al 1998 (13) 2 HA, NV, HP DCV, SS NECT, MRI, CA −TT, BG mesencephalic Death HA, N, BA; DM DCV, VG, SS, LS NECT, MRI, MRA −TT Recovery Rousseaux et al 1998 (5) 1 Amnesic syndrome, dystonia SS, LICV n.a. LT, striatocapsular Residual deficit in verbal recall
Note.—symptoms: HA, headache; N, nausea; V, vomiting; HP, hemiparesis; BA, behavioral anomalies; DM, decline in mental status; DC, decline in consciousness; A, aphasia. Veins: DCV, deep cerebral veins; ICV, internal cerebral vein; LICV, left internal cerebral vein; VG, vein of Galen; SS, straight sinus; LS, lateral sinus; (R)TS, (right) transverse sinus; SSS, superior sagittal sinus. Imaging: NECT, nonenhanced CT; CA, conventional angiography; MRI(A), MR imaging (angiography). Locations: LT, left thalamus; RT, right thalamus; TT, both thalami; BG, basal ganglia; HT, hypothalamus; hemorrh., hemorrhagic transformation; hydroc., hydrocephalus; n.a., data not available.