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Cerebral Venous Sinus Thrombosis - Deep Internal Veins

A 24 year-old woman presented with headaches followed by lethargy and coma. On examination, her pupils were small but reactive. To a doll's head maneuver, she had no vertical upgaze.

Outline the Lesions          Show the Anatomy

Axial MRI Scans. (Left) T2-weighted; (Right) Flair. Note the abnormal signal in the region of both thalami with extension into the posterior limb of the internal capsules.

Revised 05/05/06.
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