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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 Missing Straight Sinus and Deep Internal Veins       Outline the Missing Transverse and Sigmoid Sinus

MRV: (Left) lateral view; (Right) AP view. Note the complete absence of the straight sinus. In addition, there is attenuation of the distal superior sagittal sinus as well as the left transverse and sigmoid sinuses.

Revised 05/05/06.
The Electronic Curriculum is copyrighted 1998,  Case Western Reserve University School of Medicine.